"Going Back in the Closet": Addressing Discrimination Against Sexual and Gender Minority Residents in Long-Term Services and Supports by Providing Culturally Responsive Care.

IF 2 3区社会学 Q2 GERONTOLOGY Journal of Aging & Social Policy Pub Date : 2024-09-02 Epub Date: 2023-06-22 DOI:10.1080/08959420.2023.2226300

B R Simon Rosser, Tetyana Shippee, Morgan M Wright, Cailynn Aumock, Rajean Moone, Kristine M C Talley, Phil Duran, Carrie Henning-Smith, Sean Cahill, Jason D Flatt, Jaime Slaughter-Acey, Samuel Greenwald, Teresa McCarthy, Michael W Ross

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Abstract

Sexual and gender minority (SGM) older adults face discrimination in long-term services and supports (LTSS). Yet, SGM older adults use LTSS disproportionately higher relative to their non-SGM counterparts. The discrimination is compounded by existing disparities, resulting in worse health outcomes and well-being for SGM older adults. Guided by socioecological model, we posit that training LTSS staff in SGM responsive care and implementing SGM anti-discrimination policies will be needed to improve care. Considering accessibility and turnover challenges, training should be online, interactive, and easily accessible. Studies that assess interventions for SGM responsive care are needed to guide policy and practice.

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"回到壁橱里"：通过提供具有文化敏感性的护理，解决长期服务和支持中对性和性别少数群体居民的歧视问题。

性与性别少数群体（SGM）老年人在长期服务与支持（LTSS）方面面临歧视。然而，与非 SGM 老年人相比，SGM 老年人使用 LTSS 的比例要高得多。现有的差异加剧了这种歧视，导致 SGM 老年人的健康状况和福祉更差。在社会生态模型的指导下，我们认为需要对长期医疗服务人员进行培训，使其掌握应对社会性别问题的护理方法，并实施社会性别问题反歧视政策，以改善护理工作。考虑到可及性和人员流动方面的挑战，培训应采用在线、互动和易于获取的方式。有必要开展研究，评估响应 SGM 护理的干预措施，以指导政策和实践。

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来源期刊

Journal of Aging & Social Policy GERONTOLOGY-

CiteScore

13.00

自引率

3.90%

发文量

期刊介绍： The Journal of Aging & Social Policy offers a platform for insightful contributions from an international and interdisciplinary group of policy analysts and scholars. It provides an in-depth examination and analysis of critical phenomena that impact aging and the development and implementation of programs for the elderly from a global perspective, with a broad scope that encompasses not only the United States but also regions including Europe, the Middle East, Australia, Latin America, Asia, and the Asia-Pacific rim. The journal regularly addresses a wide array of issues such as long-term services and supports, home- and community-based care, nursing-home care, assisted living, long-term care financing, financial security, employment and training, public and private pension coverage, housing, transportation, health care access, financing, and quality, family dynamics, and retirement. These topics are of significant importance to the field of aging and social policy, reflecting the journal's commitment to presenting a comprehensive view of the challenges and solutions related to aging populations around the world.