Social Workers' Perceptions of Staff Attitudes Toward Resident Sexuality in a Random Sample of New York State Nursing Homes:

Fairchild, Susan K.; Carrino, Gerard E.; Ramírez, Mildred

doi:10.1300/j083v26n01_10

Cited by 26 publications

(18 citation statements)

References 10 publications

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“…Attendees reported increased confidence in their own abilities to challenge homophobic/ transphobic remarks and to advocate for respectful environments. Given that Fairchild et al (1996) found that half of nursing home direct-care staff made anti-gay comments and O' Hanlan et al (1997) found the same among medical providers, a provider's ability to challenge such remarks could encourage culture change. They also reported increased comfort in their own ability to respond to clients who might come out to them about their sexual orientation.…”

Section: Discussionmentioning

confidence: 99%

“…These beliefs and fears are well justified as the research literature demonstrates widespread anti-gay bias among service providers, including discrimination, refusal to touch, physical and verbal abuse, inappropriate curiosity, denial of care, and breach of confidentiality (Brotman, Cormier, & Ryan, 2001;Fairchild, Carrino, & Ramirez, 1996;Grant et al, 2010;JSI, 2003;O'Hanlan, Cabaj, Schatz, Lock, & Nemrow, 1997). Fredriksen-Goldsen et al (2011) found that more than 13% of LGBT older adults "report being denied or provided inferior healthcare because they are LGBT, and 4% have experienced this three or more times in their life" (p. 31).…”

Section: Understanding a Lifetime Of Stigmamentioning

confidence: 99%

“…A study of 29 nursing homes revealed that more than half of the direct-care staff was "condemning" or "intolerant" of homosexuality (Fairchild et al, 1996, p. 161). Likewise, a New York Area Agencies on Aging (AAA) study revealed 96% of the 29 agencies surveyed had no programming for LGBT elders, and the majority of senior centers in those areas stated they would not be welcoming of openly gay elders (Fairchild et al, 1996). Not surprising, only 19% of LGBT elders interviewed in those covered areas belonged to the local senior center (Grant et al, 2010).…”

Section: Understanding a Lifetime Of Stigmamentioning

confidence: 99%

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Do LGBT Aging Trainings Effectuate Positive Change in Mainstream Elder Service Providers?

Porter

Krinsky

2013

Journal of Homosexuality

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This study aims to provide empirical evidence regarding whether attitudes, beliefs, and intentions of elder-service providers can be positively affected as a result of attending cultural competency training on the unique challenges of sexual and gender minorities. Stigmatization throughout the lifespan may have a causal influence on barriers to care, social isolation, and concomitant health disparities. Data were collected for this study at 4 Massachusetts training events to pilot a cultural competency workshop on lesbian, gay, bisexual, and transgender (LGBT) aging for mainstream elder service providers. This quasi-experimental study included the analysis of pre- and posttest surveys completed by the service-provider attendees (N = 76). The analytic strategy included descriptive statistics, paired t tests, chi-square analyses, and repeated measures analyses of variance. Findings revealed statistically significant improvement in numerous aspects of providers' knowledge, attitudes, and behavioral intentions subsequent to the training sessions. These included (p = .000) awareness of LGBT resources, policy disparities, spousal benefits for same-sex couples, and the intention to challenge homophobic remarks. This study concludes that mainstream elder-service provider training on LGBT aging issues results in positive change. Recommendations include long-term follow up of participants, the inception of agency-level surveys to appraise institutional culture change, and increased curriculum on transgender older adults.

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Section: Discussionmentioning

confidence: 99%

Section: Understanding a Lifetime Of Stigmamentioning

confidence: 99%

Section: Understanding a Lifetime Of Stigmamentioning

confidence: 99%

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Do LGBT Aging Trainings Effectuate Positive Change in Mainstream Elder Service Providers?

Porter

Krinsky

2013

Journal of Homosexuality

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“…Older adults may themselves bene t from education about sexuality in late life (Salamon & Charytan, 1984;Brower & Tanner, 1979). For residential/nursing home staff, training in relation to sexuality (including the sexuality of homosexual and lesbian elders) and sexual health should be addressed in training programmes covering other aspects of physical and mental health (Fairchild et al, 1996;Holmes et al, 1997). Training programmes for health professionals and social care professionals working with older adults need also to include aspects of sexual health.…”

Section: Managementmentioning

confidence: 99%

Sexuality in older women with mental health problems

Benbow¹,

Jagus²

2002

Sexual and Relationship Therapy

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As women age, physiological, anatomical and psychological changes may affect sexual function. They may develop physical illnesses or take prescribed drugs which also affect their sexual functioning. Heterosexual women may be disadvantaged by the relative unavailability of partners. Sexual dysfunction may occur in the context of mental ill-health, particularly the dementias and depressive illnesses. Consent to sexual activity may present ethical dilemmas. Education is an important aspect of management. Psychological and social treatment approaches are often appropriate before consideration of drug treatments. The recognition, assessment and treatment of sexual dysfunction in elderly women with mental health problems may improve their quality of life.

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“…Interest in sexual activity varies among individuals at all stages of life. Obtaining reliable and accurate information about sexual behaviour can be difficult (Fairchild, Carrino, and Ramirez 1996;Matthias et al 1997). This difficulty is accentuated by the differences in values and beliefs between younger ages and the current cohorts of older people (Bretschneider and McCoy 1988).…”

Section: Introductionmentioning

confidence: 99%

Education about sexuality in the elderly by healthcare professionals: a survey from the Southern Hemisphere

Helmes

Chapman

2012

Sex Education

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Education about sexuality is one method of reducing common negative stereotypes about this aspect of the life of older people. Knowledge and attitudes toward sexuality are therefore particularly important in those who educate healthcare professionals. We surveyed schools of medicine, nursing, occupational therapy, physiotherapy, psychology, and social work in Australia, New Zealand, and South Africa using White\u27s Aging Sexuality Knowledge and Attitudes Scale. A total of 364 usable surveys were returned, revealing no main effects for differences in generally above-average levels of knowledge and attitudes across professions and the three countries. Some country-by-profession interactions were found for both knowledge and attitudes. Age was found to be the sole demographic factor able to predict both attitude toward and knowledge of sexuality. Findings suggest that levels of knowledge about sexuality and attitudes toward it have improved over earlier studies in North America

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Social Workers' Perceptions of Staff Attitudes Toward Resident Sexuality in a Random Sample of New York State Nursing Homes:

Cited by 26 publications

References 10 publications

Do LGBT Aging Trainings Effectuate Positive Change in Mainstream Elder Service Providers?

Do LGBT Aging Trainings Effectuate Positive Change in Mainstream Elder Service Providers?

Sexuality in older women with mental health problems

Education about sexuality in the elderly by healthcare professionals: a survey from the Southern Hemisphere

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