a Centre for Biomedical Ethics and Law, Faculty of Medicine, KU Leuven - University of Leuven , Leuven , Belgium.
Aging Ment Health. 2019 May;23(5):529-540. doi: 10.1080/13607863.2018.1428938. Epub 2018 Jan 22.
To investigate what empirical studies report on the perceptions of community-dwelling LGBT adults regarding sexuality and sexual expression in residential aged care (RAC), and how their sexuality should be addressed in RAC.
Relevant papers were identified through electronic searches in databases; and by reference tracking and citation tracking. Data were extracted using a standardized data extraction form and were compared, related, and synthesized using thematic analyses. We evaluated the methodological quality of the studies.
Eighteen articles were identified. Three major topics emerged regarding sexuality in RAC: (1) factors affecting LGBT people's perceptions, subdivided into (a) discrimination, (b) loss of sexual identity, (c) failure to acknowledge the same-sex partner, and (d) lack of privacy; (2) LGBT-specific RAC facilities; and (3) characteristics of LGBT friendly RAC facilities and caregivers.
LGBT people have clear perceptions about how sexuality and sexual expression is or should be managed in RAC. Despite the general increase in acceptance of sexual minorities, many community-dwelling LGBT people believe older LGBT residents are discriminated against because of their sexual orientation or gender identity. Taking into account these opinions is crucial for increasing accessibility of RAC to LGBT people and to ensure the quality of the provided care.
调查社区居住的 LGBT 成年人对养老机构（RAC）中性行为和性表达的看法，以及如何在 RAC 中解决他们的性行为问题。
通过数据库中的电子搜索，以及参考文献追踪和引文追踪，确定了相关文献。使用标准化的数据提取表格提取数据，并使用主题分析对数据进行比较、关联和综合。我们评估了研究的方法学质量。
确定了 18 篇文章。RAC 中的性行为出现了三个主要主题：（1）影响 LGBT 人群看法的因素，细分为（a）歧视，（b）性身份丧失，（c）未能承认同性伴侣，以及（d）缺乏隐私；（2）LGBT 特定的 RAC 设施；（3）LGBT 友好型 RAC 设施和护理人员的特征。
LGBT 人群对 RAC 中性行为和性表达的管理方式有明确的看法。尽管对性少数群体的接受程度普遍提高，但许多社区居住的 LGBT 人群认为，由于性取向或性别认同，老年 LGBT 居民受到歧视。考虑到这些意见对于增加 LGBT 人群对 RAC 的可及性以及确保所提供护理的质量至关重要。
