Background: Statistics reveal that lesbian, gay, bisexual, transgender, and queer (LGBTQ) older adults experience health disparities and barriers to accessing healthcare because of discrimination and fear of disclosing sexual orientation. Nurses receive limited education on LGBTQ health issues and even less information specifically about LGBTQ older adults. This study exposed novice nurses to the documentary, Gen Silent, which details LGBTQ older adult experiences.
Objectives: The objective of the study was to increase participants' understanding of LGBTQ older adult health disparities and experiences.
Design: A one-group, pre-/post-test design was conducted to test the effect of the documentary on knowledge and attitudes about LGBTQ older adult issues.
Settings: The project was set in five academic and community-based hospitals located in the mid-Atlantic region.
Participants: A total of 379 nurses attending a nurse residency program participated in the study.
Methods: A questionnaire including a 16-item standardized scale and an open-ended question asking how participants would change their practice was administered before and immediately after the intervention. We assessed change in pre- and post-test knowledge scores using Wilcoxon Sign Rank test and summarized themes of the open-ended question.
Results: Findings revealed statistically significant increases in 9 of the 16 items on the scale showing an increase of knowledge and inclusive attitude. Answers to the open-ended question revealed that most participants would ask patients for preferred pronouns and take steps to increase their own understanding of LGBTQ patients and their needs.
Conclusion: This research supports the use of a documentary as an intervention to facilitate education related to LGBTQ older adults. Further research is needed exposing healthcare professionals of varied experience in diverse healthcare settings to LGBTQ education.
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http://dx.doi.org/10.1016/j.nedt.2021.105177 | DOI Listing |
Alcohol
December 2024
College of Nursing, The Ohio State University, Columbus, OH; Infectious Disease Institute, The Ohio State University, Columbus, OH. Electronic address:
Introduction: Alcohol use, and its relationship with mental health outcomes, remains a public health priority. Yet, little research has focused on this association among aging sexual and gender minority (SGM) populations with even less dedicated to the unique issues of those aging with HIV, a gap we begin to fill here.
Methods: Data for this analysis originated from the Columbus Healthy Aging Project (CHAP), a cross-sectional survey among adults ≥50 years who reside in the Columbus, Ohio.
SSM Health Syst
December 2024
University of Washington, School of Social Work, 4101 15th Ave NE, Seattle, WA 98105, United States.
Purpose: Lesbian, gay, bisexual, transgender, and queer (LGBTQ) midlife and older adults are a health disparity population whose health and health care needs are distinguished by the intersection of gender, sexuality, and age. Research and measurement considering multidimensional factors influencing health care access among this population, however, remain limited. Theoretically cohesive indicators of health care access were combined to develop a comprehensive and reliable, yet parsimonious scale that assesses the unique health care access needs and experiences of LGBTQ midlife and older adults.
View Article and Find Full Text PDFEinstein (Sao Paulo)
December 2024
Division of Geriatrics, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Objective: To investigate differences in the prevalence of frailty between LGBT+ and non-LGBT+ older adults.
Methods: A cross-sectional study involving Brazilians aged 50 and over was performed. The participants were invited to participate in an anonymous online survey between August 2019 and January 2020.
Epidemiol Serv Saude
December 2024
Hospital Nossa Senhora da Conceição, Gerência de Atenção Primária à Saúde, Porto Alegre, RS, Brazil.
Objective: To describe the prevalence of hormone use, sociodemographic profile, and access to health services among the transgender, transvestite, and nonbinary population in Porto Alegre, capital city of Rio Grande do Sul state.
Methods: A cross-sectional study was conducted between September and November 2021, using a snowball sampling method (n=65). Data were collected through a self-administered questionnaire with transgender people aged 18 years or older.
Am J Hosp Palliat Care
December 2024
Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA, USA.
Prior research has shown that advance care planning (ACP) knowledge and discussion varies among racial and ethnic groups. However, little is known if similar disparities exist within the sexual minority (SM) population. To investigate racial disparities in ACP knowledge, discussion, and decision making within the SM population.
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