Neurological care for LGBT+ people

IF 28.2 1区 医学 Q1 CLINICAL NEUROLOGY
Salvatore Giovanni Volpe, Joya Ahmad, Roshni Abee Patel, Nicole Rosendale
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引用次数: 0

Abstract

Sexual and gender minority (LGBT+) people face unique health disparities that must be considered by health-care providers to ensure equitable and inclusive care. Although traditionally LGBT+ health has not been integrated into neurology training, sexual orientation and gender identity have direct relevance to neurological health, driven by both systemic and interpersonal factors. In this Review, we summarize the evidence for associations between sexual orientation and gender identity with the prevalence and outcomes of various neurological conditions, including neurodegenerative diseases, epilepsy, stroke and neurodevelopmental disorders, among others. We describe important clinical considerations pertaining to LGBT+ people and recommend language and practices to promote inclusive care, as well as highlight gaps in need of further research and possible strategies to minimize these, including systematic collection of sexual orientation and gender identity and use of inclusive language. In this Review, the authors discuss the unique neurological health disparities faced by sexual and gender minority (LGBT+) people. The Review presents clinical considerations alongside language and practice recommendations to promote inclusive care, and highlights the gaps in need of further research.

Abstract Image

Abstract Image

为女同性恋、男同性恋、双性恋和变性者提供神经护理
性取向和性别少数群体(LGBT+)面临着独特的健康差异,医疗服务提供者必须考虑到这一点,以确保提供公平和包容性的医疗服务。虽然传统上 LGBT+ 的健康并未被纳入神经病学培训,但在系统性和人际因素的驱动下,性取向和性别认同与神经病学健康有着直接的关系。在本综述中,我们总结了性取向和性别认同与各种神经系统疾病(包括神经退行性疾病、癫痫、中风和神经发育障碍等)的患病率和预后之间的相关证据。我们描述了与 LGBT+ 相关的重要临床注意事项,推荐了促进包容性护理的语言和实践,并强调了需要进一步研究的差距以及缩小差距的可能策略,包括系统收集性取向和性别认同信息以及使用包容性语言。
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来源期刊
Nature Reviews Neurology
Nature Reviews Neurology 医学-临床神经学
CiteScore
29.90
自引率
0.80%
发文量
138
审稿时长
6-12 weeks
期刊介绍: Nature Reviews Neurology aims to be the premier source of reviews and commentaries for the scientific and clinical communities we serve. We want to provide an unparalleled service to authors, referees, and readers, and we work hard to maximize the usefulness and impact of each article. The journal publishes Research Highlights, Comments, News & Views, Reviews, Consensus Statements, and Perspectives relevant to researchers and clinicians working in the field of neurology. Our broad scope ensures that the work we publish reaches the widest possible audience. Our articles are authoritative, accessible, and enhanced with clearly understandable figures, tables, and other display items. This page gives more detail about the aims and scope of the journal.
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