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在晚年将性与性别多样性与痴呆症患者的性权利相结合:为政策与实践制定学习框架的一个实例

Intersecting sex and gender diversity with sexual rights for people living with dementia in later life: an example of developing a learning framework for policy and practice.

作者信息

Hafford-Letchfield Trish

机构信息

Department of Social Work and Social Policy, Faculty of Humanities and Social Sciences, University of Strathclyde, Glasgow, United Kingdom.

出版信息

Front Dement. 2024 Jan 31;3:1349023. doi: 10.3389/frdem.2024.1349023. eCollection 2024.

DOI:10.3389/frdem.2024.1349023
PMID:39081597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11285634/
Abstract

The proliferation of literature on dementia over the last decade has begun to address the experience of LGBTQ+ people's experiences in later life. Changes in cognitive function can jeopardize the safety, wellbeing, and human rights of LGBTQ+ people if the social care workforce are not prepared or versed in responding to their unique needs. The intersection of age, cognitive function, sexual and gender diversity with the expression of intimacy and sexuality requires sensitive and respectful consideration. Yet, this is currently an under-researched and less understood area in social care practice. This paper highlights the main messages from the different bodies of contributory literature and introduces the national framework in England UK on LGBTQ+ aging and its potential for supporting workforce development to consider its flexibility in supporting services to becoming more nuanced and affirmative in these areas of practice.

摘要

在过去十年里,关于痴呆症的文献大量涌现,开始关注 LGBTQ+ 群体晚年的经历。如果社会护理人员没有做好准备或不熟悉应对 LGBTQ+ 群体的独特需求,认知功能的变化可能会危及他们的安全、福祉和人权。年龄、认知功能、性取向和性别多样性与亲密关系及性表达的交叉,需要得到敏感且尊重的考量。然而,目前这在社会护理实践中是一个研究不足且了解较少的领域。本文突出了不同文献主体的主要观点,并介绍了英国英格兰关于 LGBTQ+ 群体老龄化的国家框架及其在支持劳动力发展方面的潜力,以考虑其在支持服务方面的灵活性,从而在这些实践领域变得更加细致入微且持肯定态度。

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本文引用的文献

1
How to support the sexual wellbeing of older patients.如何支持老年患者的性健康。
BMJ. 2023 Mar 27;380:e072388. doi: 10.1136/bmj-2022-072388.
2
Queer futures? Forget it! Dementia, queer theory and the limits of normativity.同性恋的未来?算了吧!痴呆、同性恋理论和规范性的限制。
J Aging Stud. 2022 Dec;63:100993. doi: 10.1016/j.jaging.2021.100993. Epub 2021 Nov 30.
3
Feasibility of the Savvy Caregiver Program for LGBTQ+ Caregivers of People Living with Alzheimer's Disease and Related Dementias.适用于阿尔茨海默病和相关痴呆症患者的 LGBTQ+ 照顾者的明智照顾者计划的可行性。
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Determinants of Physical Functioning and Health-Related Quality of Life among Sexual and Gender Minority Older Adults with Cognitive Impairment.认知障碍的老年性与性别少数群体的身体机能和健康相关生活质量的决定因素。
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5
Are dementia services and support organisations meeting the needs of Lesbian, Gay, Bisexual and Transgender (LGBT) caregivers of LGBT people living with dementia? A scoping review of the literature.痴呆症服务和支持组织是否满足女同性恋、男同性恋、双性恋和跨性别(LGBT)者照顾 LGBT 痴呆症患者的需求?文献综述。
Aging Ment Health. 2022 Oct;26(10):1912-1921. doi: 10.1080/13607863.2021.2008870. Epub 2021 Nov 28.
6
Inequalities in older LGBT people's health and care needs in the United Kingdom: a systematic scoping review.英国老年 LGBT 群体健康与护理需求的不平等:一项系统的范围综述。
Ageing Soc. 2021 Mar;41(3):493-515. doi: 10.1017/S0144686X19001326. Epub 2019 Oct 11.
7
Assessing the LGBT cultural competency of dementia care providers.评估痴呆症护理提供者的LGBT文化能力。
Alzheimers Dement (N Y). 2021 Feb 14;7(1):e12137. doi: 10.1002/trc2.12137. eCollection 2021.
8
A Review of Minority Stress as a Risk Factor for Cognitive Decline in Lesbian, Gay, Bisexual, and Transgender (LGBT) Elders.少数性群体压力作为女同性恋、男同性恋、双性恋和跨性别(LGBT)老年人认知衰退风险因素的综述。
J Gay Lesbian Ment Health. 2020;24(1):2-19. doi: 10.1080/19359705.2019.1644570. Epub 2019 Jul 31.
9
Educating health and social care practitioners on the experiences and needs of older LGBT+ adults: Findings from a systematic review.对健康和社会保健从业者进行关于老年 LGBT+ 成年人的经历和需求的教育:系统评价的结果。
J Nurs Manag. 2021 Jan;29(1):43-57. doi: 10.1111/jonm.13145. Epub 2020 Sep 29.
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What happens when we forget our own narrative: Transgender dementia case study.当我们忘记自己的经历时会发生什么:跨性别痴呆症案例研究。
Clin Neuropsychol. 2021 Nov;35(8):1485-1497. doi: 10.1080/13854046.2020.1766575. Epub 2020 May 25.