Lesbian, Gay, Bisexual, and Transgender Older Adults' Experiences With Elder Abuse and Neglect.
Lesbian, Gay, Bisexual, and Transgender Older Adults' Experiences With Elder Abuse and Neglect.
复制标题
女同性恋、男同性恋、双性恋和跨性别老年人遭受虐待和忽视的经历。
DOI：
10.1111/jgs.16101
复制
发表时间：
2019
影响因子：
6.3
通讯作者：
Clark,Sunday
中科院分区：
文献类型：
--
作者：
Bloemen,ElizabethM;Rosen,Tony;LoFaso,VeronicaM;Lasky,Allison;Church,Skotti;Hall,Porsha;Weber,Tom;Clark,Sunday
对男女同性恋、双性恋和变性者（LGBT）社区中的虐待和忽视老年人的情况知之甚少;然而，这一人群面临更大的虐待风险，可能会经历不同的虐待，需要不同的资源。我们进行了焦点小组调查LGBT老年人的观点和经验与老年人abortment. METHODS我们进行了三个焦点小组，26名参与者从老年中心招募专门为LGBT老年人。一个半结构化的问卷调查，重点小组进行录音，专业转录，并使用扎根theorety. CRUSTS分析出现的关键主题包括：虐待的定义和病因学，从多个少数民族身份的交叉性歧视，不愿意报告，并建议改善推广。与会者以多种方式界定虐待老年人的行为，包括系统虐待以及执法和医疗提供者虐待。通常报告的病因包括：歧视造成的社会孤立、污名化、多重少数群体身份造成的歧视交织在一起，以及施虐者对权力和控制的渴望。参与者在向警方报案时有些犹豫;然而，大多数人强烈认为他们不会向医疗提供者报告虐待行为。大多数人报告说，如果他们知道有人受到虐待，他们会感到必须报告;但是，他们不知道向谁报告。战略参与者建议，以提高宣传包括：提高认识，可用的资源和研究人员从事LGBT社区directly.CONCLUSIONLGBT老年人概念化虐待老人不同，有不同的经验与警察和医疗服务提供者。改善对这一潜在弱势群体的宣传对于确保他们的安全至关重要。J Am Geriatr Soc 67：2338-2345，2019
BACKGROUND/OBJECTIVESLittle is known about elder abuse and neglect in the lesbian, gay, bisexual, and transgender (LGBT) community; however, this population faces a greater risk of abuse and likely experiences abuse differently and needs different resources. We conducted focus groups to investigate LGBT older adults' perspectives on and experience with elder mistreatment.METHODSWe conducted three focus groups with 26 participants recruited from senior centers dedicated to LGBT older adults. A semistructured questionnaire was developed, and focus groups were audio recorded, professionally transcribed, and analyzed using grounded theory.RESULTSKey themes that emerged included: definitions and etiologies of abuse, intersectionality of discrimination from multiple minority identities, reluctance to report, and suggestions for improving outreach. Participants defined elder abuse in multiple ways, including abuse from systems and by law enforcement and medical providers. Commonly reported etiologies included: social isolation due to discrimination, internalization of stigma, intersection of discrimination from multiple minority identities, and an abuser's desire for power and control. Participants were somewhat hesitant to report to police; however, most felt strongly that they would not report abuse to their medical provider. Most reported that they would feel compelled to report if they knew someone was being abused; however, they did not know who to report to. Strategies participants suggested to improve outreach included: increasing awareness about available resources and researchers engaging with the LGBT community directly.CONCLUSIONLGBT older adults conceptualize elder abuse differently and have different experiences with police and medical providers. Improved outreach to this potentially vulnerable population is critical to ensuring their safety.J Am Geriatr Soc 67:2338–2345, 2019