Older lesbians' experiences with home care: Varying levels of disclosure and discrimination
Older lesbians' experiences with home care: Varying levels of disclosure and discrimination
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DOI：
10.1080/10538720.2017.1365673
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发表时间：
2017-01-01
影响因子：
1.5
通讯作者：
Butler, Sandra S.
中科院分区：
文献类型：
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作者：
Butler, Sandra S.
有大量证据表明，女同性恋、男同性恋、双性恋和跨性别者 (LGBT) 老年人在获得医疗保健方面遇到了障碍，并对自己在长期护理系统中将受到的待遇深感恐惧，但老年女同性恋者的具体经历却很少受到关注。大多数需要长期服务和支持 (LTSS) 的老年人更愿意留在家里，女同性恋也是如此。本文报道了一项全国性定性研究，调查对象是 20 名老年女同性恋者（65 岁及以上）与家庭护理人员的经历。还包括六名非正式伙伴护理人员提供家庭护理服务的经验。描述了有关披露程度、恐同经历、接受护理评估以及对理想 LTSS 的想法等新兴主题。大多数研究参与者没有向家庭护理人员透露自己的性取向。相当一部分人经历过恐同症，但几乎所有人最终都找到了提供良好护理、让他们感到舒服的工人。他们对理想 LTSS 的愿景包括更高的负担能力和家庭护理人员必须具备的重要品质，例如能力、关怀和接受度。概述了实践和政策影响，包括仔细招聘、培训和监督家庭护理人员，以促进对女同性恋敏感的护理，同时也改善工资和工作条件，以维持高质量的家庭护理人员队伍。
There is considerable evidence that lesbian, gay, bisexual and transgender (LGBT) older adults have experienced barriers to health care access and have profound fears about how they will be treated in the long-term care system, but the specific experiences of older lesbians have received less attention. Most older adults needing long-term services and supports (LTSS) prefer to remain at home, and this is true for lesbians as well. This article reports on a national, qualitative study of the experiences of 20 older lesbians (age 65 and older) with home care workers. The experiences of six informal partner caregivers with home care services are also included. Emergent themes regarding level of disclosure, experiences with homophobia, evaluation of care received, and thoughts about ideal LTSS are described. Most study participants did not disclose their sexual orientation to their home care workers. A significant minority experienced homophobia, but nearly all ultimately found workers who provided good care with which they were comfortable. Their visions of ideal LTSS included greater affordability and particular qualities that were important for home care workers to possess, such as competence, caring and acceptance. Practice and policy implications are outlined including careful recruitment, training and supervision of home care workers to foster lesbian-sensitive care, but also improved wages and work conditions in order to maintain a quality home care workforce.