Older lesbian women's health and healthcare: A narrative review of the literature

Hayman, RN Brenda; Wilkes, RN Lesley

doi:10.1111/jocn.13237

Cited by 7 publications

(4 citation statements)

References 32 publications

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“…Life-course approach. The majority of the current research literature focuses on sexual minority youth, and less evidence is available on the mental health situation of sexual minorities at later stages of life, such as among adults or elderly, and whether the mental health impact of stressors persists across the lifespan (Blondeel et al, 2018;Collier et al, 2013;Haas et al, 2011;Hatzenbuehler, 2017;Hayman & Wilkes, 2016).…”

Section: Knowledge Gapsmentioning

confidence: 99%

Sexual orientation openness and depression symptoms: A population-based study.

Star¹,

Pachankis²,

Bränström³

2019

Psychology of Sexual Orientation and Gender Diversity

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Background: Compared to heterosexual individuals, sexual minorities (e.g., those identifying as gay, lesbian, or bisexual) are at higher risk of several mental health problems, including suicidality, substance abuse, depression, and anxiety. Research has attributed much of these elevated risks to unique and chronic stress experiences, so-called minority stress, relating to the stigma and prejudice that many sexual minorities face. Less is known about how sexual minority stigma may function as a multilevel socio-ecological system that includes stigma-related risk factors at various levels, such as the structural (e.g., negative population attitudes and discriminatory laws and policies), interpersonal (e.g., victimization and harassment), and individual level (e.g., internalization of negative societal attitudes and concealment of sexual identity), to drive poor mental health among sexual minorities. Such a socio-ecological system of sexual minority stigma may feature unique characteristics and components, including 1) a chronosystem in which stigma-related factors may vary and exert effects across time, space, and the life course, 2) cross-level effects in which stigma-related factors at one level may give rise to stigma at another level, and 3) mechanisms that explain how stigma-related factors may compromise sexual minorities' mental health. Purpose and aims:The purpose of this Doctor of Philosophy (Ph.D.) thesis was to contribute to the advancement of sexual minorities' mental health equity by furthering the scientific knowledge on the mechanisms underlying sexual orientation-based disparities in mental health. The Ph.D. thesis aimed to do so by 1) advancing theoretical thinking through combing the existing frameworks of minority stress and psychological mediation with socioecological theory, 2) examining mental health disparities by sexual orientation, and 3) testing different elements of a proposed socio-ecology of sexual minority stigma framework.Methods: Cross-sectional individual-level data were used from surveys sent out to sexual minorities living in Sweden, across Europe, and/or with migration backgrounds. The first two of the presented studies used probability-based sampling techniques to identify representative population-based samples, while the other two studies used convenience samples of sexual minorities who lived in, or have moved from, various countries, diverse in structural climates. Data for the latter two studies were combined with objective indicators of structural forms of stigma present in these countries. In all studies, mediation and/or moderation analyses were employed to examine the explanatory or buffering, respectively, mechanisms underlying the associations between stigma-related factors and sexual minority mental health or wellbeing.

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Section: Knowledge Gapsmentioning

confidence: 99%

Sexual orientation openness and depression symptoms: A population-based study.

Star¹,

Pachankis²,

Bränström³

2019

Psychology of Sexual Orientation and Gender Diversity

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“…Literature review (or overview) is helpful in presenting a broad perspective on a topic 23 and it is typically used to evaluate and synthesise health-related literature and involves a critical evaluation of included empirical studies to form innovative conclusions and perspectives. 24…”

Section: Designmentioning

confidence: 99%

Dignity from the nurses’ and older patients’ perspective: A qualitative literature review

Šaňáková

Čáp

2018

Nurs Ethics

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“…Eleven non-empirical research sources (Supplementary Table 4) discussed a need for awareness of subgroup differences—either by sociodemographic differences (e.g., sex, gender, race/ethnicity, disability, geographic location, income, and education) (Auldridge & Espinoza, 2013; Choi & Meyer, 2016; Dentato et al, 2014 ; Fredriksen-Goldsen et al, 2014, 2015; Gay and Lesbian Medical Association, 2012; National Resource Center on LGBT Aging, 2017), or by focusing on the issues unique to a specific group (e.g., healthy weight for lesbian women, HIV for gay men) (Baker, 2016; Hayman & Wilkes, 2016; Johnston, 2016; Rowan & Giunta, 2016). Attention to the subgroup differences were informed by commentaries based on systematic reviews or empirical studies (Fredriksen-Goldsen et al, 2014; Hayman & Wilkes, 2016; Rowan & Giunta, 2016), but still lacked rigorous evaluations of the ways in which attention to subgroup differences affected the provision of CCCC. Across non-empirical research sources, attention to differences by cohorts were noted, defined by age groups (Choi & Meyer, 2016; National Resource Center on LGBT Aging, 2017) as well as by identity (Dentato et al, 2014).…”

Section: Resultsmentioning

confidence: 99%

Culturally Competent Clinical Care for Older Sexual Minority Adults: A Scoping Review of the Literature

et al. 2021

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Study Objective: As recent efforts to improve culturally competent clinical care (CCCC) have largely overlooked older LGB adults, we conducted a scoping review of position statements, empirical, and non-empirical research and suggest action steps. Methods: We followed PRISMA Extension for Scoping Reviews Guidelines and searched for articles 1/1/11-3/14/19 (n = 1210) and other resources (n = 52), deduplicating, dually screening abstracts (n = 1,156), reviewing full-text (n = 107), and conducted a content analysis to identify distinct and cross-cutting domains (n = 44). Main Findings: Most research was based on simple pre/post-training differences in provider knowledge. A majority of sources were non-empirical. We identified three distinct domains (education & staffing, physical environment, and inclusive language & communication) and three cross-cutting domains (subgroup differences, research, and policy). Principal Conclusions: Sparse empirical data that specify best approaches to improve CCCC exist; nevertheless, providers, in collaboration with researchers and policy makers, can initiate improved practices aimed at increasing CCCC for older LGB patients.

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Older lesbian women's health and healthcare: A narrative review of the literature

Abstract: Recognition that older lesbian women often create, and draw on, a family of choice for support is imperative. In addition, the clinical environment should be safe for older lesbian women to disclose their sexual orientation and other sensitive information.

Cited by 7 publications

References 32 publications

Sexual orientation openness and depression symptoms: A population-based study.

Sexual orientation openness and depression symptoms: A population-based study.

Dignity from the nurses’ and older patients’ perspective: A qualitative literature review

Culturally Competent Clinical Care for Older Sexual Minority Adults: A Scoping Review of the Literature

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