Nowakowski Alexandra C H, Chan Alan Y, Miller Jordan Forrest, Sumerau J E
Florida State University College of Medicine, Orlando, FL, USA.
Georgia State University, Atlanta, GA, USA.
Gerontol Geriatr Med. 2019 Jan 15;5:2333721418822865. doi: 10.1177/2333721418822865. eCollection 2019 Jan-Dec.
More openly sexually and gender diverse people are aging into later life across the world as generational transitions occur. People identifying many different ways beyond cisgender and heterosexual are diverse with respect to many other characteristics and sociopolitical locations across the globe and may thus experience a wide array of health journeys both individually and as partners in intimate relationships. In this review article, we summarize the major contributions of and ongoing gaps in existing studies about such couples' experiences of chronic disease management in later life. We focus on three key groups of findings from prior research about the health of older sexually and/or gender diverse couples: care practices, unmet needs, and diverse resources. We outline priorities for future research within and across these topic areas and in varied locations, with unique recommendations for scholars in both academic and clinical settings. These recommendations support greater integration of such populations, topics, and needs in existing discourse on aging and late life. Likewise, recommendations from this review illuminate potential best practices for engaging and serving these elders in both academic and applied settings.
随着代际变迁，世界各地越来越多公开的性取向和性别多样化的人步入晚年。除了顺性别和异性恋之外，认同许多不同方式的人在全球范围内的许多其他特征和社会政治背景方面存在差异，因此他们作为个体以及亲密关系中的伴侣，可能会经历各种各样的健康历程。在这篇综述文章中，我们总结了现有研究在老年此类伴侣慢性病管理经历方面的主要贡献和持续存在的差距。我们关注先前关于老年性取向和/或性别多样化伴侣健康研究的三组关键发现：护理实践、未满足的需求和多样化的资源。我们概述了这些主题领域内部和之间以及不同地点未来研究的优先事项，并为学术和临床环境中的学者提供了独特的建议。这些建议支持将此类人群、主题和需求更好地融入现有的衰老和晚年话语中。同样，本综述中的建议阐明了在学术和应用环境中接触和服务这些老年人的潜在最佳实践。
