Lesbian, Gay, Bisexual, Transgendered, or Intersexed Content for Nursing Curricula

Brennan, Ann; Barnsteiner, Jane; Siantz, Mary Lou de León; Cotter, Valerie T.; Everett, Janine S.

doi:10.1016/j.profnurs.2011.11.004

Cited by 77 publications

(72 citation statements)

References 29 publications

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“…16 The stress of living within a heterocentrist, homophobic society, leading marginalized lives, enduring the stress of hiding one's sexual orientation, facing verbal, emotional or physical abuse from both family members and the larger society, may lead to engagement in risky behaviours and a wide range of mental health problems. 11,22,25 The risk of depression, generalized anxiety disorder, panic attacks, and the possibility of social isolation is higher within this population. 25 Studies have shown that better health has been linked to living with a partner, having a higher income and less lifetime victimization, having good physical and mental functioning, higher self-esteem, being a parent, and having a favourable attitude towards one's own sexuality.…”

Section: Health and Health Care Disparitiesmentioning

confidence: 99%

“…11,22,25 The risk of depression, generalized anxiety disorder, panic attacks, and the possibility of social isolation is higher within this population. 25 Studies have shown that better health has been linked to living with a partner, having a higher income and less lifetime victimization, having good physical and mental functioning, higher self-esteem, being a parent, and having a favourable attitude towards one's own sexuality. 20 However, there is also evidence that older same-sex couples do not gain the same health benefits as heterosexual couples and are at a significantly greater risk for needing some type of long-term care assistance than their heterosexual counterparts.…”

Section: Health and Health Care Disparitiesmentioning

confidence: 99%

“…1 It was common for older LGBT people to conceal their sexual identity and/or orientation and, thus, many experienced invisibility 25 or denied their nature and conformed for the sake of public acceptance. Their early socialization took place at a time when LGBT status was considered pathological, sinful, and immoral.…”

Section: Literature Reviewmentioning

confidence: 99%

“…25 LGBT populations are at a higher risk of disability, poor mental health, smoking, and excessive drinking, 26 experience higher rates of HIV infection, suicide attempts, violence and homelessness, and have less access to preventive health care. 16 The stress of living within a heterocentrist, homophobic society, leading marginalized lives, enduring the stress of hiding one's sexual orientation, facing verbal, emotional or physical abuse from both family members and the larger society, may lead to engagement in risky behaviours and a wide range of mental health problems.…”

Section: Health and Health Care Disparitiesmentioning

confidence: 99%

“…41 A first step in developing sensitivity and understanding is exploring one's own homophobic or heterosexist biases. 19,25 Hospice and palliative care organizations can learn from the policies and practices of LGBT organizations such as Services and Advocacy for GLBT Elders (SAGE). 42 The Fenway Institute 16 has suggested some strategies to increase the number of LGBT clients served and the quality of that service.…”

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confidence: 99%

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Hospice and Palliative Care for Older Lesbian, Gay, Bisexual and Transgender Adults: The Effect of History, Discrimination, Health Disparities and Legal Issues on Addressing Service Needs

Farmer¹,

Yancu²,

King³

2015

Palliat Med Hosp Care Open J

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CitationFarmer DF, Yancu CN. Hospice and palliative care for older lesbian, gay, bisexual and transgender adults: The effect of history, discrimination, health disparities and legal issues on addressing service needs. ReviewPage 36 ABSTRACTThe acronym LGBT refers to groups of people who are lesbian, gay, bisexual and transgender, groups historically marginalized, mistreated, ignored by society and the health care delivery systems, including hospice and palliative care services. The purpose of this literature review was to explore the characteristics, history, health and health care disparities, social support systems and legal issues of LGBT persons with a particular focus on older adults, endof-life care, and ways in which hospice and palliative care organizations can better meet their needs. Despite the fact that sound enquiry is needed to improve health-related outcomes, what little research has been done with LGBT adults in general and, specifically, with older LGBT adults, has focused mainly on HIV/AIDS and other sexually transmitted diseases. As a social minority, LGBT persons are more likely to experience economic insecurity, lack health insurance, experience invisibility, and be victimized and mistreated. This is especially true of olderLGBT adults who grew up in a less tolerant era when sexual minorities were criminalized and stigmatized as pathological, sinful, and immoral. Their minority status has led to health issues and health care disparities, and requires health professionals to consider systems in a way that redefines family, addresses legal concerns, and responds with options of care unlike those of their heterosexual counterparts. With recent changes in societal attitudes and some progress in addressing legal concerns, hospice and palliative care organizations now have a unique opportunity to lead the health care community by pioneering culturally sensitive and appropriate methods to better serve this population.

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Section: Health and Health Care Disparitiesmentioning

confidence: 99%