Inequalities in older LGBT people's health and care needs in the United Kingdom: a systematic scoping review.
Inequalities in older LGBT people's health and care needs in the United Kingdom: a systematic scoping review.
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DOI：
10.1017/s0144686x19001326
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发表时间：
2021-03
影响因子：
2.5
通讯作者：
French R
中科院分区：
文献类型：
--
作者：
Kneale D;Henley J;Thomas J;French R
在英国，年长的女同性恋、男同性恋、双性恋和变性人（LGBT）在年轻时所面临的敌对环境可能对他们的健康产生持久的负面影响。这一系统范围界定审查通过全面综合关于卫生和保健不平等的程度和性质的已知证据，以及突出证据中的差距，为未来的研究重点指明了方向，从而增加了现有的知识基础。我们检索了四个数据库，进行手动检索，并纳入了对英国50岁以上的LGBT人群及其身心健康或社会关怀状况进行实证研究的研究。在总共5，738条记录中，来自42项研究的48篇论文符合条件并纳入数据提取。综合报告发现，在身心健康以及社会护理、遭受暴力和孤独方面存在不平等。社会护理环境似乎是不平等的焦点，正式护理环境严重损害了老年男女同性恋、双性恋和变性者在其一生中发展的身份和关系。相反，文献表明，一些年长的LGBT人如何成功地谈判与年龄有关的过渡，例如，强调以LGBT为重点的社会群体在抵消社会孤立和孤独方面的重要作用。虽然存在明确的政策影响，要求改变正式护理环境，以适应日益多样化的老年人口，但也有必要探讨如何支持老年男女同性恋、双性恋和变性者更长时间地保持独立，减少对正式护理的需求。
The hostile environment that older lesbian, gay, bisexual and transgender (LGBT) people faced at younger ages in the United Kingdom (UK) may have a lasting negative impact on their health. This systematic scoping review adds to the current knowledge base through comprehensively synthesising evidence on what is known about the extent and nature of health and care inequalities, as well as highlighting gaps in the evidence which point the way towards future research priorities. We searched four databases, undertook manual searching, and included studies which presented empirical findings on LGBT people aged 50+ in the UK and their physical and mental health or social care status. From a total of 5,738 records, 48 papers from 42 studies were eligible and included for data extraction. The synthesis finds that inequities exist across physical and mental health, as well as in social care, exposure to violence and loneliness. Social care environments appeared as a focal point for inequities and formal care environments severely compromised the identity and relationships that older LGBT people developed over their lifecourse. Conversely, the literature demonstrated how some older LGBT people successfully negotiated age-related transitions, e.g. emphasising the important role of LGBT-focused social groups in offsetting social isolation and loneliness. While there exist clear policy implications around the requirement for formal care environments to change to accommodate an increasingly diverse older population, there is also a need to explore how to support older LGBT people to maintain their independence for longer, reducing the need for formal care.
影响因子：
3.6
作者：
Williamson LM;Flowers P;Knussen C;Hart GJ
通讯作者：
Hart GJ