End-of-Life Preparations Among LGBT Older Canadian Adults: The Missing Conversations
End-of-Life Preparations Among LGBT Older Canadian Adults: The Missing Conversations
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DOI：
10.1177/0091415019836738
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发表时间：
2019-06-01
影响因子：
2
通讯作者：
Mock, Steven
中科院分区：
文献类型：
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作者：
de Vries, Brian;Gutman, Gloria;Mock, Steven
LGBT（女同性恋，男同性恋，双性恋和变性人）老年人比异性恋同龄人更有可能在污名化的环境中获得有限的支持，这些环境往往受到传统社会服务的不良影响，挑战他们对生命结束的准备。在加拿大的五个城市进行了14个焦点小组和3个个人访谈，男同性恋/双性恋男子（5组; 40名参与者），女同性恋/双性恋妇女（5组; 29名参与者），和变性人（3个访谈，4组; 24名参与者）。确定了四个优先主题：（a）动机和障碍，（B）关系问题，（c）男女同性恋、双性恋和变性者文化和生活的动态，以及（d）体制问题。出现了几个紧迫的问题，包括抑郁和孤立（在男同性恋和双性恋男性中更常见），财务/阶级问题（女同性恋和双性恋女性），以及与医疗服务提供者（跨性别参与者）的不舒服互动。这些调查结果突出了LGBT社区临终准备的挑战和复杂性。
LGBT (lesbian, gay, bisexual, and transgender) older adults are more likely than their heterosexual peers to age with limited support in stigmatizing environments often poorly served by traditional social services challenging their preparedness for end of life. Fourteen focus groups and three individual interviews were conducted in five Canadian cities with gay/bisexual men (5 groups; 40 participants), lesbian/bisexual women (5 groups; 29 participants), and transgender persons (3 interviews, 4 groups; 24 participants). Four superordinate themes were identified: (a) motivators and obstacles, (b) relationship concerns, (c) dynamics of LGBT culture and lives, and (d) institutional concerns. Several pressing issues emerged including depression and isolation (more common among gay and bisexual men), financial/class issues (lesbian and bisexual women), and uncomfortable interactions with health-care providers (transgender participants). These findings highlight the challenges and complexities in end-of-life preparation within LGBT communities.