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[性与性别多样性及老年人护理——交叉视角与情境的相关性]

[Sexual and gender diversity and care for older people-intersectional perspectives and the relevance of situations and contexts].

作者信息

Lottmann Ralf

机构信息

Alice Salomon Hochschule Berlin, Alice-Salomon-Platz 5, 12627, Berlin, Deutschland.

出版信息

Z Gerontol Geriatr. 2020 May;53(3):216-221. doi: 10.1007/s00391-020-01704-7. Epub 2020 Feb 18.

DOI:10.1007/s00391-020-01704-7
PMID:32072325
Abstract

BACKGROUND

There have been relatively few studies concerning gender and sexual identity in research on ageing and nursing or care. Non-heterosexual older people and those in need of care describe fears of rejection and the dependence on third parties in their use of health and social care services in old age.

OBJECTIVE

This article examines the question of how gender and sexual diversity can be respected in older adult social services. It focuses on the question of how sexual and gender identity become relevant in particular contexts and how these categories interact with other categories of identity.

MATERIAL AND METHODS

Qualitative data from the same sex and nursing in old age (GLEPA) research project with older lesbian, gay, bisexual, transand inter (LGBTI*) people in need of care or help are used. For the analysis, biographical case reconstructions are combined with an intersectional perspective.

RESULTS AND CONCLUSION

The analysis of the data shows how sexual and gender identities of older LGBTI* people are represented in differing contexts and depend on their experiences across the course of life. It also shows how specific strategies associated with these identity categories are developed and can be distinguished. Particularly in the act of personal care, the interplay between age, body and gender identity shows how the interviewees experience the normative and sometimes violent, structures of long-term care. Regarding sexual identity, the data show the continuing relevance of life situations and lifestyles for LGBTI* people into old age, demonstrating the importance of taking an intersectional perspective for person-centered care with older adults.

摘要

背景

在衰老与护理或照料的研究中,关于性别和性取向的研究相对较少。非异性恋老年人以及需要护理的人群表示,他们担心在老年时使用健康和社会护理服务会遭到拒绝,并且依赖第三方。

目的

本文探讨了如何在老年人社会服务中尊重性别和性取向的多样性。它关注的问题是,性取向和性别认同在特定背景下如何变得相关,以及这些类别如何与其他身份类别相互作用。

材料与方法

使用来自“老年同性与护理”(GLEPA)研究项目的定性数据,该项目涉及需要护理或帮助的老年女同性恋、男同性恋、双性恋、跨性别者和双性人(LGBTI*)。在分析过程中,将个人经历的案例重构与交叉性视角相结合。

结果与结论

数据分析表明,老年LGBTI人群的性取向和性别认同在不同背景下如何呈现,以及如何取决于他们一生的经历。它还展示了与这些身份类别相关的特定策略是如何形成和区分的。特别是在个人护理行为中,年龄、身体和性别认同之间的相互作用表明了受访者如何体验长期护理的规范结构,有时这种结构甚至是暴力的。关于性取向,数据表明生活状况和生活方式对LGBTI老年人仍然具有相关性,这证明了在为老年人提供以人为本的护理时采用交叉性视角的重要性。

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