Health Disparities Among Lesbian, Gay, Bisexual, Transgender, and Queer Older Adults: A Structural Competency Approach.

IF 1.2 4区医学 Q3 GERONTOLOGY

International Journal of Aging & Human Development Pub Date : 2024-01-01 Epub Date: 2023-04-25 DOI:10.1177/00914150231171838

Nik M Lampe, Harry Barbee, Nathaniel M Tran, Skyler Bastow, Tara McKay

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引用次数: 1

Abstract

Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) older adults experience significant health disparities. Examining these disparities has become an international research priority, but gaps remain. In this review article, we summarize major contributions of and ongoing gaps in health disparities research among LGBTQ+ older adults, while focusing on four major content areas: (a) social determinants of health disparities, (b) mental, cognitive, and physical health disparities, (c) reproductive and sexual health disparities, and (d) seeking LGBTQ+-affirming and age-friendly care. Using a structural competency approach, we develop a four-part agenda for this research area that enhances our understanding of how macro-level systems, institutions, and structures drive health disparities among aging LGBTQ+ communities. We also outline future research on structural competency in LGBTQ+ older adult health, while providing recommendations for researchers and clinicians. These recommendations illuminate potential best practices for bettering the health and quality of life of LGBTQ+ older populations.

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女同性恋、男同性恋、双性恋、跨性别和酷儿老年人的健康差异：结构能力方法。

女同性恋、男同性恋、双性恋、跨性别者和酷儿（LGBTQ+）老年人的健康状况存在显著差异。研究这些差异已成为国际研究的优先事项，但差距依然存在。在这篇综述文章中，我们总结了LGBTQ+老年人健康差距研究的主要贡献和正在进行的差距，同时重点关注四个主要内容领域：（a）健康差距的社会决定因素，（b）心理、认知和身体健康差距，（c）生殖和性健康差距，以及（d）寻求LGBTQ+-肯定和年龄友好的护理。使用结构能力方法，我们为这一研究领域制定了一个由四部分组成的议程，以增强我们对宏观层面的系统、机构和结构如何导致老龄化LGBTQ+社区之间的健康差距的理解。我们还概述了未来对LGBTQ+老年人健康结构能力的研究，同时为研究人员和临床医生提供建议。这些建议阐明了改善LGBTQ+老年人群健康和生活质量的潜在最佳实践。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Aging & Human Development Multiple-

CiteScore

4.10

自引率

5.00%

发文量

期刊介绍： These are some of the broad questions with which the International Journal of Aging and Human Development is concerned. Emphasis is upon psychological and social studies of aging and the aged. However, the Journal also publishes research that introduces observations from other fields that illuminate the "human" side of gerontology, or utilizes gerontological observations to illuminate in other fields.