The provision of healthcare services to older LGBT adults in the Nordic countries: a scoping review.

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-12-01 Epub Date: 2023-08-21 DOI:10.1080/02813432.2023.2242713
Monika Dybdahl Jakobsen, Janne Bromseth, Anna Siverskog, Martin Sollund Krane
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Abstract

Objectives: Our objectives were to examine what is known about the provision of healthcare services to older LGBT adults in the Nordic countries, identify knowledge gaps, map implications of this research for the education of healthcare professionals and delivery of healthcare, and identify key future research priorities to advance policy and practice for older LGBT adults in this region.

Design: We conducted searches in nine databases. Peer-reviewed articles and PhD theses published in and after 2002 written in English, Norwegian, Swedish or Danish languages were included. 41 studies met our inclusion criteria. However, only eight of these studies focused specifically on older LGBT adults. Therefore, to answer all research questions, five book chapters about older groups were also included.

Results: There were few studies from countries other than Sweden and few quantitative studies. Bisexual people represented a neglected group in research. The studies included showed that healthcare personnel lack knowledge on LGBT issues, particularly about older LGBT adults and non-binary gender identification. Older LGBT adults frequently reported being met with cis- and heteronormative expectations in healthcare encounters. For transgender people, access to medical treatment has been managed by gatekeepers influenced by a binary understanding of gender.

Conclusions: Relevant measures to enhance practices are increased attention on LGBT issues in education; training of healthcare professionals; measures at the institutional level; and ensuring that transgender people identifying as non-binary receive the same quality of care as individuals identifying in a binary way.

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北欧国家对老年LGBT成人的医疗保健服务的提供:范围审查
目的:我们的目的是检查北欧国家对老年LGBT成年人提供医疗保健服务的了解情况,确定知识差距,绘制本研究对医疗保健专业人员教育和医疗保健提供的影响,并确定未来研究的重点,以推进该地区老年LGBT成年人的政策和实践。设计:我们在9个数据库中进行了搜索。2002年及以后发表的以英语、挪威语、瑞典语或丹麦语撰写的同行评议文章和博士论文被包括在内。41项研究符合我们的纳入标准。然而,这些研究中只有8项专门针对年长的LGBT成年人。因此,为了回答所有的研究问题,还包括了关于老年群体的五个章节。结果:瑞典以外的研究较少,定量研究较少。在研究中,双性恋是一个被忽视的群体。包括的研究表明,医护人员缺乏对LGBT问题的认识,特别是对老年LGBT成年人和非二元性别认同的认识。年长的LGBT成年人经常报告在医疗保健遭遇中遇到顺性和异性恋的期望。对于跨性别者而言,获得医疗的机会一直由受性别二元理解影响的看门人管理。结论:相关措施加强实践,增加了教育对LGBT问题的重视;培训保健专业人员;体制一级的措施;并确保被认定为非二元性别的跨性别者与被认定为二元性别的人得到同样质量的护理。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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