Older lesbian, gay, bisexual, transgender, queer and intersex peoples’ experiences and perceptions of receiving home care services in the community: A systematic review

Smith, Raymond L.; Wright, Toni

doi:10.1016/j.ijnurstu.2021.103907

Cited by 13 publications

(9 citation statements)

References 25 publications

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“…Compared to previous reviews on this topic (Smith & Wright, 2021), which focused on older community-dwelling SGM adults, our review emphasizes the intersectionality of SGM, AD/ADRD, and LTSS, revealing the additional challenges faced by SGM older adults with AD/ADRD. Despite a growing proportion of older SGM adults who need LTSS, there is a disproportionate lack of research on their care needs.…”

Section: Discussionmentioning

confidence: 82%

Scoping Literature Review: Experiences of Sexual and Gender Minority Older Adults, With Diagnoses of Dementia, Who Use Residential Long-Term Services and Supports

Shippee,

Rosser,

Wright

et al. 2023

J Appl Gerontol

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The number of sexual and gender minority (SGM) older adults utilizing residential long-term supports and services (LTSS) will increase in the forthcoming decades. Paradoxically, while requiring more LTSS services than their non-SGM counterparts, SGM older adults are less likely to access these services, partly due to fears of discrimination. Furthermore, SGM older adults living with Alzheimer’s disease and related dementias (AD/ADRD) present unique challenges and opportunities for LTSS facilities. This article provides a scoping review on the intersection between experiences of SGM older adults with AD/ADRD who use residential LTSS. This review identified three themes: (1) the experiences of discrimination among SGM residents in LTSS facilities, (2) the need for comprehensive staff training in residential LTSS to ensure proper care of SGM populations, and (3) the crucial role of inclusive facility policies. As the number of SGM older adults is expected to increase, further research is necessary.

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Section: Discussionmentioning

confidence: 82%

Scoping Literature Review: Experiences of Sexual and Gender Minority Older Adults, With Diagnoses of Dementia, Who Use Residential Long-Term Services and Supports

Shippee,

Rosser,

Wright

et al. 2023

J Appl Gerontol

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“…Current health status, signs of ageing and attitudes towards ageing were related to women's care plans and concerns regarding intrapersonal factors were associated with older SM women's long‐term care plans. Previous studies on older SM individuals found that self‐perceptions of ageing were not suggested as factors related to long‐term care plans or concerns (Almack & King, 2019; Caceres et al, 2020; Fasullo et al, 2022; Flatt et al, 2022; Garrison‐Diehn et al, 2022; Hua et al, 2019; Inventor et al, 2022; Smith & Wright, 2021). However, many older SM women who held negative views towards ageing had comprehensive financial plans and private long‐term care insurance because of worries about poor physical status and being a burden to their families during older adulthood.…”

Section: Discussionmentioning

confidence: 98%

“…Previous international studies have indicated that sexual minority (SM) older adults experience physical and mental health disparities, as well as challenges in accessing appropriate long‐term care services and support (Fasullo et al, 2022; Flatt et al, 2022; Smith & Wright, 2021). However, few studies have explored the long‐term care preparations, considerations and influencing factors in older SM women.…”

Section: Introductionmentioning

confidence: 99%

Long‐term care planning and the influencing factors among sexual minority older women: A qualitative study

Wang,

Miao,

Wang

2023

Journal of Advanced Nursing

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AimsThe aim of the study was to explore plans, considerations and factors influencing long‐term care among older sexual minority (SM) women.DesignQualitative interview study.MethodsSemi‐structured in‐depth interviews were conducted with 37 older Taiwanese SM women between May and September 2019. This study analysed interview data using a socio‐ecological model and constant comparative analysis.ResultsThe most frequently reported long‐term care plans were housing and institutions, private medical or long‐term care insurance, financial planning and medical decisions. Factors associated with women's long‐term care plans were categorized using the socio‐ecological model level: (1) intrapersonal factors: current physical and mental health status, ageing signs and women's attitudes towards ageing; (2) interpersonal‐level factors: receiving support from partners, child(ren), siblings or significant others, concerns about being a caregiver for parents and worries regarding social isolation; (3) community‐level factors: receiving support from lesbian, gay, bisexual and transgender (LGBT) organizations; private lesbian online groups; or religious groups; (4) societal‐level factors: concerns about negative social environments, concerns about the healthcare system and healthcare providers, inappropriate policies and insufficient resources.ConclusionThis study identified multi‐level factors related to long‐term care plans and concerns among older Taiwanese SM women. Recommendations for nurses, managers of long‐term care and healthcare settings, policymakers, and governments have been provided to diminish health disparities and reduce anxiety among older SM women.ImpactThis study assists nurses in understanding older SM women's long‐term care concerns and worries when accessing long‐term care and healthcare services and helps nurses provide SM‐sensitive services and care for women.Patient or Public ContributionSM older women were recruited from LGBT organizations, LGBT‐friendly bookstores, restaurants, coffee shops and LGBT online chatrooms using purposive and snowball sampling.

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“…A limited but growing body of literature on older lesbians’ and gay men’s health shows that they may avoid using formal health‐care services for fear of discrimination (Putney et al., 2018). Even when some do attempt to access care, fear of disclosing their sexual orientation and exposure to both overt and subtle forms of heterosexism and discrimination are still commonly reported in senior centres and home care settings (Grigorovich, 2015; Smith & Wright, 2021).…”

Section: Ageing Experiences Of Lesbians and Gay Men: Unique Relationa...mentioning

confidence: 99%

Intimate networks of care: Perceptions of intergenerational family care and experiences of ageing among Chinese midlife and older lesbians and gay men

Lo,

Liu,

Lai

et al. 2023

Sociology Health & Illness

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This article examines how lesbians and gay men imagine and build their ‘intimate networks of care’ and negotiate moral expectations towards intergenerational family care as they age. To date, little is known about the strength and complexities of different intimate ties or the role of intergenerational dynamics in shaping ageing sexual minority people’s care needs and choices. Based on narrative interviews with ageing Chinese lesbians and gay men, the findings reveal their experiences of constantly juggling their ties with families of origin, moral values around intergenerational care and the urge to receive support from and offer support to chosen networks of people. Participants exercised agency in expanding their networks of care by building friendship and (online and offline) community networks for mutual care and support in later life. Nevertheless, as evidenced by the centrality of ageing with(out) children, and the moral obligation of caring for parents in participants’ narratives, participants experienced tensions between enacting what was considered morally right/wrong and developing networks of care that were perceived as emotionally intimate. Linking relational sociology with the sociology of morality, we discuss the conceptual utility of ‘intimate networks of care’ for sociological theorising of the linkages between sexuality, care and relational lives.

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Older lesbian, gay, bisexual, transgender, queer and intersex peoples’ experiences and perceptions of receiving home care services in the community: A systematic review

Cited by 13 publications

References 25 publications

Scoping Literature Review: Experiences of Sexual and Gender Minority Older Adults, With Diagnoses of Dementia, Who Use Residential Long-Term Services and Supports

Scoping Literature Review: Experiences of Sexual and Gender Minority Older Adults, With Diagnoses of Dementia, Who Use Residential Long-Term Services and Supports

Long‐term care planning and the influencing factors among sexual minority older women: A qualitative study

Intimate networks of care: Perceptions of intergenerational family care and experiences of ageing among Chinese midlife and older lesbians and gay men

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