Health, well‐being, and social support in older Australian lesbian and gay care‐givers

Alba, Beatrice; Lyons, Anthony; Waling, Andrea; Minichiello, Victor; Hughes, Mark; Barrett, Catherine; Fredriksen‐Goldsen, Karen; Edmonds, Samantha

doi:10.1111/hsc.12854

Cited by 17 publications

(18 citation statements)

References 50 publications

(137 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previous research in Australia on concerns about accessing ageing and health care services has found that lesbian women were more concerned about services not recognising same‐sex relationships than were gay men (Hughes, 2009). Studies have further found that women in general tend to access health services more often than men (Mukhtar et al., 2018) and research in Australia shows that older lesbian women are more likely to be caregivers than older gay men (Alba et al, 2020), all of which may result in additional contact with services. It is therefore possible that some gender differences were related to women having greater experience of services and therefore being more aware of challenges posed by issues related to inclusiveness, as well as greater awareness of what services are available.…”

Section: Discussionmentioning

confidence: 99%

Older lesbian and gay adults’ perceptions of barriers and facilitators to accessing health and aged care services in Australia

Alba

Lyons

Waling

et al. 2020

Health Soc Care Community

Self Cite

View full text Add to dashboard Cite

Older lesbian and gay people can face considerable marginalisation, which may affect their perceptions and experiences of accessing health and aged care services. To inform strategies promoting accessibility, this study aimed to investigate perceived barriers and facilitators to health and aged care service access among older lesbian and gay adults. A sample of 752 cisgender lesbian women and gay men aged 60 years and older living in Australia responded to questions on a broad range of potential barriers and facilitators to service access. Several barriers and facilitators were commonly reported, with some differences between the women and the men. LGBTI inclusiveness was among commonly reported concerns. A majority of participants reported a lack of LGBTI‐inclusive service providers and professionals as a barrier. A majority also reported a perceived lack of professionals adequately trained and competent to work with LGBTI individuals, with significantly more women than men indicating this as a barrier. Almost all participants indicated LGBTI‐inclusive mainstream services as a facilitator for access. In all, inclusiveness appears to be a key issue for service access among older lesbian and gay people, which may need to be further addressed by service providers and policy makers for improving service accessibility.

show abstract

Section: Discussionmentioning

confidence: 99%

Older lesbian and gay adults’ perceptions of barriers and facilitators to accessing health and aged care services in Australia

Alba

Lyons

Waling

et al. 2020

Health Soc Care Community

Self Cite

View full text Add to dashboard Cite

show abstract

“…Sample items are: 'When I need suggestions on how to deal with a personal problem, I know someone I can turn to' and 'I don't often get invited to do things with others'. In an Australian study of gay and lesbian people (Alba et al, 2020), scale score reliability was excellent (α = 0.90). Possible scores ranged from 12 to 48.…”

Section: Social Supportmentioning

confidence: 99%

Identity resilience, social support and internalised homonegativity in gay men

Jaspal

Breakwell

2022

Psychology & Sexuality

View full text Add to dashboard Cite

Identity resilience, a key concept in identity process theory (IPT), refers to individuals' capacity to cope with threats to their identity. Identity resilience is based upon four identity principles: self-efficacy; self-esteem; positive distinctiveness; and, continuity. This study investigates whether identity resilience influences how much gay men internalise homonegativity. Given the insidious effects of internalised homonegativity upon psychological well-being, it is important to identify factors affecting its management. Greater identity resilience enables deployment of strategies that may reduce internalisation of homonegativity. These strategies include rejecting the salience of negative social representations of gay men and emphasising the availability of social support. While both these strategies affect how 'out' a gay man chooses to be, they are also linked to the experience of everyday discrimination. We predicted identity resilience would have both a direct negative association with internalised homonegativity and an indirect negative effect mediated by higher social support, lower everyday discrimination, and, less perceived negative representations of gay men and greater 'outness'. Survey data from 333 gay men in the UK supported this model. Fostering the development of identity resilience and its attendant coping strategies may help in managing internalisation of homonegativity.

show abstract

“…For example, Grigorovich [ 35 , 36 ] explores quality of care related to service provider knowledge of, and comfort with, sexual diversity and the decision-making processes related to disclosure of older lesbian and bisexual women during interactions with home care service providers, citing experiences of overt and subtle heterosexism and discrimination. References to home care in 2SLGBTQ+ health-related literature have often been anecdotal and/or represent the perspectives and insights of service providers rather than sexual and gender minority people themselves [ 31 , 38 , 39 , 40 , 41 , 42 ].…”

Section: Introductionmentioning

confidence: 99%

A Framework for Enhancing Access to Equitable Home Care for 2SLGBTQ+ Communities

Daley

Brotman

MacDonnell

et al. 2020

IJERPH

View full text Add to dashboard Cite

Canadian, US, and UK public health and clinical research has identified barriers to health service access for Two-Spirit, lesbian, gay, bisexual, transgender, queer, non-binary, and intersex (2SLGBTQ+) communities. While offering important insight into the health service experiences of 2SLGBTQ+ communities, this body of research only recently, and still only minimally, reports on home care access experiences. Drawing on key findings from the 2SLGBTQ+ Home Care Access Project, a mixed-methods, Ontario-wide study, this paper animates an Access and Equity Framework, using participant stories and perspectives to underscore the relevance and effectiveness of the Framework as a tool to support systematic organizational assessment, evaluation, and implementation of access and equity strategies. Home care organizations can use this tool to assess their programs and services along a continuum of intentionally inviting, unintentionally inviting, unintentionally disinviting, and intentionally disinviting care for 2SLGBTQ+ people. To support this process, the framework includes six indicators of access to care: community engagement, leadership, environment, policies and processes, education and training, and programs and services.

show abstract

Health, well‐being, and social support in older Australian lesbian and gay care‐givers

Cited by 17 publications

References 50 publications

Older lesbian and gay adults’ perceptions of barriers and facilitators to accessing health and aged care services in Australia

Older lesbian and gay adults’ perceptions of barriers and facilitators to accessing health and aged care services in Australia

Identity resilience, social support and internalised homonegativity in gay men

A Framework for Enhancing Access to Equitable Home Care for 2SLGBTQ+ Communities

Contact Info

Product

Resources

About