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引用次数: 0
摘要
导言：尽管对有健康差异的人群进行了研究，但人们对老年女同性恋、男同性恋、双性恋和变性者（LGBT）中健康的社会决定因素（SDOH）的不平等却知之甚少。本范围综述旨在探索和总结有关老年 LGBT 成年人中 SDOH 的已知文献：乔安娜-布里格斯研究所（Joanna Briggs Institute，JBI）的方法指导了此次范围界定综述，综述研究了 31 篇文章，其中包括定量、定性和混合方法研究。数据由三位独立审稿人通过预先设计的数据图表、描述性总结和主题分析流程进行分析：老年参与者主要是女同性恋、男同性恋、双性恋和变性者。研究结果表明，个人、社会、经济和医疗保健系统这四个方面相互交织，导致了健康不平等和不良的健康结果：鉴于 SDOH 对老年 LGBT 成年人的重要性，包括医疗服务提供者在内的利益相关者需要更好地了解多重交叉影响因素，提供文化上一致的医疗服务，并将支持来源纳入对这些在性取向和性别上属于少数群体的老年人的护理中。
Social Determinants of Health Inequities for Older LGBT Adults: A Scoping Review.
Introduction: Despite the research on a health-disparate population, less is known about the social determinants of health (SDOH) inequities among older lesbian, gay, bisexual, and transgender (LGBT) adults. This scoping review aimed to explore and summarize what is known in the literature regarding the SDOH among older LGBT adults.
Methods: The Joanna Briggs Institute's (JBI) approach guided this scoping review, which examined 31 articles that included quantitative, qualitative, and mixed-method studies. Data were analyzed by three independent reviewers through a predesigned process of data charting, descriptive summary, and thematic analysis.
Results: Older participants were primarily LGBT and LGB. The findings identified four intersecting dimensions of individuals, social, economic, and health care system, contributing to health inequities and poor health outcomes.
Conclusion: Given the importance of SDOH for older LGBT adults, stakeholders including health care providers need to better understand the multiple intersecting influences, provide culturally congruent health care, and integrate sources of support into the care of these sexual- and gender-minority older adults.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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