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“重回衣橱”：通过提供文化响应式护理来解决长期服务和支持中对性少数和性别少数居民的歧视。

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

机构信息

Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.

Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA.

出版信息

J Aging Soc Policy. 2024 Sep 2;36(5):875-887. doi: 10.1080/08959420.2023.2226300. Epub 2023 Jun 22.

DOI:10.1080/08959420.2023.2226300
PMID:37348486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10739643/
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.

摘要

性少数群体（SGM）老年人在长期服务和支持（LTSS）中面临歧视。然而，与非 SGM 同龄人相比，SGM 老年人使用 LTSS 的比例不成比例地更高。现有的差异加剧了这种歧视，导致 SGM 老年人的健康状况和幸福感更差。本研究以社会生态学模型为指导，假设培训 LTSS 工作人员了解 SGM 响应式护理，并实施 SGM 反歧视政策，以改善护理。考虑到可及性和人员流动的挑战，培训应该是在线的、互动的和易于访问的。需要研究评估 SGM 响应式护理的干预措施，以指导政策和实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1533/10739643/c5a248ab1115/nihms-1909247-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1533/10739643/c5a248ab1115/nihms-1909247-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1533/10739643/c5a248ab1115/nihms-1909247-f0001.jpg

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Health Soc Care Community. 2022 Sep;30(5):e1449-e1470. doi: 10.1111/hsc.13812. Epub 2022 Apr 9.
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Subjective cognitive decline higher among sexual and gender minorities in the United States, 2015-2018.2015 - 2018年美国性少数群体和性别少数群体中主观认知能力下降情况更为严重。
Alzheimers Dement (N Y). 2021 Jul 28;7(1):e12197. doi: 10.1002/trc2.12197. eCollection 2021.
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Same-Sex Couples and Cognitive Impairment: Evidence From the Health and Retirement Study.
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J Gerontol B Psychol Sci Soc Sci. 2021 Aug 13;76(7):1388-1399. doi: 10.1093/geronb/gbaa202.
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A national study on the physical and mental health of intersex adults in the U.S.美国两性畸形成年人身心健康的全国性研究
PLoS One. 2020 Oct 9;15(10):e0240088. doi: 10.1371/journal.pone.0240088. eCollection 2020.
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A systematic review of the relationship between religion and attitudes toward transgender and gender-variant people.宗教与对跨性别者和性别变异者态度之间关系的系统评价。
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