Department of Clinical Gerontology, King's College Hospital, London SE5 9RS, UK.
Department of Sociology, Virginia Tech, Blacksburg, VA 24061, USA.
Age Ageing. 2022 Jun 1;51(6). doi: 10.1093/ageing/afac142.
International human rights movements have improved the visibility and equality of lesbian, gay, bisexual and transgender+ (LGBT+) communities and their members. Health outcomes for LGBT+ people remain, however, worse than for their non-LGBT+ peers. Older LGBT+ people have experienced fewer positive changes, in part due to their lived experience of discrimination and their ongoing, unintentional invisibility in medical and social care. This article highlights the impacts of societal structure, health and social care on the lives of older LGBT+ people including physical and mental health, End of Life, Dementia, Housing and Care Settings, and a focus on the experiences of trans-people. We look at the existing improvements developed by LGBT+ communities (and their allies) and propose refreshing Person-Centred Care to improve inclusivity. Finally, we provide a framework for looking at the areas in which service challenges arise and suggest ways to address these to make health and social care services more ready to meet the needs of older LGBT+ people.
国际人权运动提高了女同性恋、男同性恋、双性恋和跨性别者（LGBT+）群体及其成员的可见度和平等性。然而，LGBT+人群的健康状况仍然比非 LGBT+人群差。年长的 LGBT+人群经历的积极变化较少，部分原因是他们在生活中经历了歧视，以及他们在医疗和社会护理中持续、无意识的隐形。本文重点介绍了社会结构、健康和社会护理对年长的 LGBT+人群生活的影响，包括身心健康、生命末期、痴呆症、住房和护理环境，并关注跨性别者的经历。我们探讨了 LGBT+群体（及其盟友）所做的现有改进，并提出了更新的以患者为中心的护理方法，以提高包容性。最后，我们提供了一个框架，用于研究服务挑战出现的领域，并提出了解决这些问题的方法，以使医疗和社会护理服务更能满足年长的 LGBT+人群的需求。
