The Politics of LGBT+ Health Inequality: Conclusions from a UK Scoping Review.
The Politics of LGBT+ Health Inequality: Conclusions from a UK Scoping Review.
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DOI：
10.3390/ijerph18020826
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发表时间：
2021-01-19
影响因子：
--
通讯作者：
Weeks H
中科院分区：
文献类型：
--
作者：
McDermott E;Nelson R;Weeks H
这项对英国证据的范围界定审查旨在描述与癌症、心理健康和姑息治疗相关的女同性恋、男同性恋、双性恋和跨性别者 (LGBT+) 健康不平等的已知情况，为研究、政策和公共卫生干预措施提供信息。我们使用范围界定审查方法，从数据库搜索、引文跟踪和专家咨询中确定研究。纳入/排除标准基于 PICOS 框架。将数据绘制成图表，然后进行总结，以绘制理论方法和主要证据类型并确定知识差距。共筛选文章279篇，最终纳入83篇。我们发现，英国关于癌症、心理健康和姑息治疗方面 LGBT+ 健康不平等的研究有限。我们认为，证据基础薄弱的部分原因是国家对 LGBT+ 健康不平等的政策讨论是在非政治化的“情况正在好转”的叙述中进行的，并且不愿意充分承认造成 LGBT+ 健康不平等的不公正的社会和经济关系。此外，现有的公共卫生解释理论、模型和框架将 LGBT+ 健康不平等去政治化，这些理论、模型和框架将性取向和性别多样性排除在与社会经济、种族和族裔相互关联的权力维度之外。这是制定能够成功解决 LGBT+ 健康不平等问题的公共卫生干预措施的障碍
This scoping review of UK evidence aimed to describe what is known about Lesbian, Gay, Bisexual, and Trans (LGBT+) health inequalities in relation to cancer, mental health, and palliative care to inform research, policy and public health interventions. Using a scoping review methodology, we identified studies from database searches, citation tracking, and expert consultation. The in/exclusion criteria was based on the PICOS framework. The data were charted and then summarised to map the theoretical approaches and the main types of evidence and identify knowledge gaps. In total, 279 articles were screened and 83 were included in the final review. We found that there is limited UK research examining LGBT+ health inequality in cancer, mental health and palliative care. We would argue that this thin evidence base is partly due to national policy discussions of LGBT+ health inequality that are framed within a depoliticised ‘it’s getting better’ narrative, and an unwillingness to adequately acknowledge the unjust social and economic relations that produce LGBT+ health inequality. In addition, LGBT+ health inequality is depoliticised by existing public health explanatory theories, models and frameworks that exclude sexual orientation and gender diversity as dimensions of power that interlock with those of socio-economic, race and ethnicity. This is a barrier to developing public health interventions that can successfully tackle LGBT+ health inequality
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影响因子：
3.8
作者：
Elford, J;Bolding, G;Sherr, L
通讯作者：
Sherr, L
影响因子：
4.8
作者：
Burkhalter, Jack E.;Margolies, Liz;Maingi, Shail
通讯作者：
Maingi, Shail
影响因子：
3.8
作者：
Dalla Pria, Alessia;Alfa-Wali, Maryam;Bower, Mark
通讯作者：
Bower, Mark
DOI：
10.1177/0038038510375739
发表时间：
2010-10-01
影响因子：
2.9
作者：
Almack, Kathryn;Seymour, Jane;Bellamy, Gary
通讯作者：
Bellamy, Gary
影响因子：
4.4
作者：
Bartlett, Annie;Smith, Glenn;King, Michael
通讯作者：
King, Michael