The Library and Knowledge Service have put together a collection of resources relating to Trans Awareness Week, 13-19 November 2020. This marks the week before Transgender Day of Remembrance on 20 November.
If you are interested in receiving more information on this topic, or wish to access anything listed, please email us at wuth.lks@nhs.net
Advice
and support
Stonewall
https://www.stonewall.org.uk/help-and-advice
Information and support for LGBT communities and their
allies. Contact Stonewall's Information Service FREEPHONE 0800 0502020 Lines
are open 9:30 - 4:30 Monday to Friday.
Trans Awareness Week
https://www.glaad.org/transweek
Each year between November 13 – 19, people and organizations
around the country participate in Transgender Awareness Week to help raise the
visibility about transgender people and address issues members of the community
face.
Transgender Day of
Remembrance (TDOR), is an annual observance on November 20 that honors the
memory of the transgender people whose lives were lost in acts of
anti-transgender violence that year.
Mermaids
Helping gender-diverse kids, young people and their families
since 1995
TransUnite
Access over 100 verified UK Trans support groups and locate
one close to you. Detailed profiles offer specific information on the scope of
support provided, meeting schedules and contact information.
Recent Reports
New research provides
insights into the distress experienced by transgender adults
Published on 22 September 2020
https://doi.org/10.3310/alert_41281
The findings provide further evidence that transgender
people need better support within the healthcare system and in society more
broadly […]
The care and
management of individuals who are transgender
HM Prisons and Probations service: Gov.uk
Last updated: 2020
This Policy Framework ensures that transgender individuals
are treated with respect and sensitivity while they are in custody, and that
the safety of anyone in our care, transgender or not, is prioritised.
Attitudes to
transgender people
Equality and Human Rights Commission
Date: August 2020
https://www.evidence.nhs.uk/document?id=2272408
We commissioned research in 2019 about the British public's
attitudes to transgender people.
Data from NatCen's British Social Attitudes (BSA) survey
suggests that public attitudes to transgender people are broadly positive.
However, people's attitudes are more nuanced in specific situations and
according to demographic characteristics.
The research covers:
- personal feelings and prejudice towards transgender people
- attitudes to transgender people in gender-specific situations
- attitudes about transgender people's right to change the sex on their birth certificate
- variation by geography and changes over time
Author(s):
Publication Date: 2020
Abstract:Research
has shown that significant health disparities exist for individuals identifying
as LGBTQ+. North Yorkshire Healthwatch wanted to find out what these
inequalities look like for North Yorkshire's LGBTQ+ community. They asked what
works well and what can be improved, with a particular focus on mental health
care. More than 200 people shared their views through this survey using
questionnaires, interviews and outreach activities.
Database: HMIC
Health and Care LGBTQ+ Leaders Network
launched
Author(s):
Source: National
Health Executive; 2020
Publication Date: 2020
Abstract:NHS
Confederation has launched the Health and Care LGBTQ+ Leaders Network to
transform the NHS so that members of the LGBTQ+ community can be assured of
equal treatment, receive the best care and work in an inclusive environment
across the healthcare service. [Introduction]
Database: HMIC
The health status of transgender and gender
non-binary adults in the United States
Author(s): Cicero,
Ethan C; Reisner, Sari L; Merwin, Elizabeth I; Humphreys, Janice C; Silvia,
Susan G
Source: PLoS ONE;
2020; vol. 15 (no. 2)
Publication Date: 2020
Available at PLoS
ONE - from Europe PubMed Central -
Open Access
Abstract:The goal
of this exploratory study was to delineate health differences among transgender
subpopulations (transgender women/TW, transgender men/TM, gender nonbinary/GNB
adults). 2015 Behavioral Risk Factor Surveillance System data were analyzed to
compare the health of three groups (TW:N = 369; TM:N = 239; GNB:N = 156).
Logistic regression and adjusted odds ratios were used to determine whether
health outcomes (fair/poor health, frequent physical and mental unhealthy days,
chronic health conditions, and health problems/impairments) are related to
group and its interaction with personal characteristics and socioeconomic position.
Group was a significant predictor of fair/poor health and frequent mental
unhealthy days, revealing significant health differences between the
transgender groups. The odds of poor/fair health were approximately 2.5 times
higher in TM and GNB adults relative to TW. The odds of frequent mental
unhealthy days for TM were approximately 1.5-2 times greater than TW and GNB
adults. Among those with health insurance, the odds of fair/poor health for GNB
adults was more than 1.5-2 times higher that of TM and TW. Among those without
health insurance, TM had over seven times greater odds of fair/poor health than
TW. This study underscores the importance of classifying and examining the
health of the transgender population as unique subpopulations, as notable health
differences were discovered. TM and GNB adults have significant health
concerns, requiring the attention of clinical interventions aimed at promoting
health and preventing illness. [Abstract]
Database: HMIC
Advancing LGBTQ health equity via human-centered
design
Author(s): Coulter,
Robert W. S.; Siconolfi, Daniel E.; Egan, James E.; Chugani, Carla D.
Source: Psychiatric
Services; Feb 2020; vol. 71 (no. 2); p. 109
Publication Date: Feb
2020
Publication Type(s): Journal
Peer Reviewed Journal Comment/Reply
PubMedID: 32008475
Available at Psychiatric
services (Washington, D.C.) - from
Unpaywall
Abstract:Comments
on an article by J. K. Felner et al. (see record 2020-11846-003). Felner et al.
conducted a to explore how lesbian, gay, bisexual, transgender, and queer
(LGBTQ) people’s lived experiences as sexual and gender minorities influenced
their substance use in adolescence and young adulthood. Numerous factors at the
individual, interpersonal, and structural levels of the socioecological model
influenced LGBTQ people’s substance use, including using substances to cope
with internalized stigma, familial rejection, and structural stigma. Their
findings also underscore how social influence and community norms facilitated
substance use for LGBTQ young adults. An important finding is that people who
identified both as a gender minority (e.g., transgender) and a sexual minority
(e.g., LGBTQ) had to cope with twofold minority stressors and socioecological
influences that affected their substance use in intersecting ways. This
qualitative study supports the mounting quantitative evidence, that substance
use by LGBTQ youths and young adults is influenced by complex, multilevel interacting
factors. Human-centered design (HCD; also known as user centered design) is
well suited to advance the field of substance use prevention interventions for
LGBTQ youths by designing interventions that simultaneously target several of
the complex, multilevel factors identified by Felner et al. HCD can broadly be
defined as a set of approaches that engage multiple stakeholder groups,
including end users, in developing innovative solutions to problems. Overall,
HCD approaches can help researchers and stakeholders create meaningful,
acceptable, and novel interventions that target the complex, multilevel factors
influencing LGBTQ youths’ substance use. Although there is a long way to go in
eliminating inequities in substance use and disorders among LGBTQ youths and
young adults, we believe that HCD methods are an untapped resource that can
help realize the goal of health equity for the LGBTQ population. (PsycInfo
Database Record (c) 2020 APA, all rights reserved)
Database: PsycINFO
Author(s): Nowaskie,
Dustin
Source: Journal
of Gay & Lesbian Mental Health; Jun 2020
Publication Date: Jun
2020
Publication Type(s): Journal
Peer Reviewed Journal
Abstract:The
prevalence of many mental health disorders is substantially higher in the
lesbian, gay, bisexual, and transgender (LGBT) population compared to the
cisgender, heterosexual population. While psychiatry residents are in crucial
roles as learners and providers, there is a paucity of data regarding U.S.
psychiatry residents’ experiences and education with LGBT healthcare. A 29-item
self-reporting, anonymous, cross-sectional survey was distributed to U.S. psychiatry
residents across the country between July and October 2019. Survey items
included demographics, experiential variables, and the 7-point Likert
LGBT-Development of Clinical Skills Scale. Psychiatry residents (N = 304)
reported caring for many LGBT patients (M = 23.56, SD = 40.43) and receiving a
low number of annual LGBT curricular hours (M = 1.21, SD = 1.58) and a moderate
number of LGBT extracurricular hours (M = 10.79, SD = 20.54). They also
reported very high affirming attitudinal awareness (M = 6.58, SD = 0.72),
moderate knowledge (M = 5.42, SD = 1.28), and low clinical preparedness (M =
4.68, SD = 1.23). Approximations of 40 LGBT patients and 20 LGBT total hours
were determined to offer significant preparedness and knowledge. Psychiatry
residents embody many strengths, namely their diversity and affirming
attitudes, but also have shortcomings such as clinical skills and preparedness.
During this current state of national psychiatry training, there is a lack of
standardized education and exposure to LGBT care. Future efforts should heavily
consider increasing both LGBT patient contact hours and formal education hours.
(PsycInfo Database Record (c) 2020 APA, all rights reserved) (Source: journal abstract)
Database: PsycINFO
LGBTQ mental health: International
perspectives and experiences
Author(s):
Source: LGBTQ
mental health: International perspectives and experiences; 2020
Publication Date: 2020
Publication Type(s): Book
Edited Book
Abstract:This
book expands the understanding of lesbian, gay, bisexual, transgender, or queer
(LGBTQ) people's lives beyond the dominant narrative of the West to include the
experiences of LGBTQ people from around the world. In the United States,
Canada, and Western Europe, much has been written about LGBTQ health and mental
health. Chapters in this book cover LGBTQ populations that are largely
invisible in the psychological literature by focusing on the Majority World to
expand our understanding of what it means to be LGBTQ and how mental health
needs and priorities contextually vary. The book chapters address the concerns
of LGBTQ people of various regions of the world, including South Asia,
Southeast Asia, Northern Asia, Eastern Europe, Latin America, the Caribbean,
and sub-Saharan Africa. These chapters provide some historical perspective, as
well as cultural factors and values, conceptualizations of gender and
sexuality, perspectives and concerns of LGBTQ people, and relevant clinical
issues and recommendations for mental health practitioners to consider. Authors
address how being a sexual and/or gender diverse person may impact mental
health and highlight challenges faced by LGBTQ populations as they relate to
laws, policies, and cultural beliefs. Chapters include one or more vignettes
based either on one or more authors' experiences or on a fictionalized or
deidentified case in order to give readers a sense of what concerns are
relevant to the LGBTQ population from that particular country or region. Book
chapters are organized to allow readers to compare and contrast LGBTQ
experiences within and between regions. (PsycINFO Database Record (c) 2019 APA,
all rights reserved) (Source: create)
Database: PsycINFO
Author(s): Walch,
Susan E.; Bernal, Darren R.; Gibson, Laynie; Murray, Linda; Thien, Samantha;
Steinnecker, Kyra
Source: Psychology
of Sexual Orientation and Gender Diversity; Feb 2020
Publication Date: Feb
2020
Publication Type(s): Journal
Peer Reviewed Journal Journal Article
Abstract:Over the
past century, the content and methods of empirical research on lesbian, gay,
bisexual, transgender, and queer (LGBTQ) or sexual and gender minority (SGM)
populations have evolved. The present study aimed to describe and quantify
broad content themes, methodological and design features, and trends over time
in the empirical psychological literature base on LGBTQ and SGM populations
since the start of the new millennium. A systematic review of 650 study samples
with LGBTQ or SGM participants from 632 empirical research articles with LGBTQ
or SGM terms in the article title, published in English in peer-reviewed
journals indexed in PsycINFO in selected years (2000, 2005, 2010, and 2015), is
reported in this article. Findings suggest substantial increases in the number,
but not the percentage, of studies with LGBTQ or SGM participants since the
start of the new millennium. Even with this increase in volume, the literature
remains characterized almost exclusively by nonexperimental, descriptive, or
observational research relying primarily on cross-sectional, retrospective,
correlational designs and nonprobability, self-selected, or convenience
sampling methods. Despite an increase in use of online recruitment and data
collection, the majority of sample sizes remain small to moderate in size. Most
samples were composed of adults and an increase in racial/ethnic diversity of
study samples was observed over time. Reporting of important sample
characteristics, particularly socioeconomic status, was frequently inadequate.
Findings indicate that research sampling has evolved substantially from its
historic roots; however, there is much room for greater methodological
diversity and rigor in this area of research. (PsycINFO Database Record (c)
2020 APA, all rights reserved) (Source:
journal abstract)
Impact statementPublic Significance Statement—This review article
describes and quantifies the topics, scientific methods, and trends over time
in psychological research on lesbian, gay, bisexual, transgender, and queer
(LGBTQ) or sexual and gender minority (SGM) populations since the start of the
new millennium. A systematic review of 650 study samples from 632 research
articles shows substantial increases in the number, but not the percentage, of
studies with LGBTQ or SGM participants since the start of the new millennium
and describes ways in which research methods have remained stable or changed
since the year 2000. Findings indicate that research sampling has evolved from
early historical methods; however, there is much room for greater
methodological variety and rigor. (PsycINFO Database Record (c) 2020 APA, all
rights reserved)
Database: PsycINFO
Author(s): McEwing,
Evan
Source: Nurse
education today; Nov 2020; vol. 94 ; p. 104573
Publication Date: Nov
2020
Publication Type(s): Journal
Article
PubMedID: 32927395
Abstract:PURPOSEDespite
well-documented healthcare disparities in the lesbian, gay, bisexual, and
transgender (LGBT) community, nursing education has lagged other health professions
in promoting culturally competent care to members of this minority
group.METHODSUsing national guidelines, the author developed an educational
program for BSN students to improve competency in providing care for LGBT
individuals. One hundred twenty-four students completed online modules and a
simulation exercise, which explored LGBT healthcare topics. One hundred eight
participants completed surveys pre-, post-, and 1 month after the
intervention.RESULTSOverall LGB competence scores improved from pre-
(M = 4.42) to post-test (M = 5.20) and did not
significantly decrease at one-month (M = 5.03,
p < .001). Similar findings were observed in the transgender
cultural competence scores (pre- (M = 4.02); post-
(M = 5.08); one-month (M = 4.92, p < .001)).CONCLUSIONEducational
content focused on cultural competency for nurses may lead to improved health
outcomes among the LGBT community.
Database: Medline
Provider and LGBT Individuals' Perspectives
on LGBT Issues in Long-Term Care: A Systematic Review.
Author(s): Caceres,
Billy A; Travers, Jasmine; Primiano, Jillian E; Luscombe, Rachel E; Dorsen,
Caroline
Source: The
Gerontologist; Apr 2020; vol. 60 (no. 3); p. e169
Publication Date: Apr
2020
Publication Type(s): Research
Support, N.i.h., Extramural Journal Article Systematic Review
PubMedID: 30726910
Abstract:BACKGROUND
AND OBJECTIVESDiscrimination toward the lesbian, gay, bisexual and transgender
(LGBT) population has raised concerns about the type of long-term services and
supports (LTSS) that will be available to them as they age. To understand the
unique needs of aging LGBT populations, we sought to synthesize and critique
the evidence related to LTSS providers and LGBT individuals' perspectives of
LGBT issues in LTSS in the United States.RESEARCH DESIGN AND METHODSFollowing
the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, a
systematic review of the literature was conducted. The Crowe Critical Appraisal
Tool was used to appraise the quality of the included studies.RESULTSNineteen
studies met inclusion criteria. Seven studies that examined the perspectives of
LTSS providers identified two themes, including that they lack knowledge and
training on LGBT health issues and generally report negative attitudes toward
same-sex relations among older adults. In addition, 12 studies that examined
the perspectives of LGBT individuals found that they (i) are concerned about
LTSS planning, (ii) fear discrimination from providers in LTSS, and (iii)
identify several strategies for improving care of LGBT older adults receiving
LTSS.DISCUSSION AND IMPLICATIONSThis systematic review highlights the
importance for LTSS providers to receive training in LGBT health and be
reflective of potential biases toward the LGBT population. LGBT individuals
identified concerns related to LTSS planning and fear of discrimination from
LTSS providers. LGBT individuals also identified a need for increased training
of providers to improve the care of LGBT older adults in LTSS.
Database: Medline
Author(s): Caceres,
Billy A; Streed, Carl G; Corliss, Heather L; Lloyd-Jones, Donald M; Matthews,
Phoenix A; Mukherjee, Monica; Poteat, Tonia; Rosendale, Nicole; Ross, Leanna M;
American Heart Association Council on Cardiovascular and Stroke Nursing; Council
on Hypertension; Council on Lifestyle and Cardiometabolic Health; Council on
Peripheral Vascular Disease; and Stroke Council
Source: Circulation;
Nov 2020; vol. 142 (no. 19); p. e321
Publication Date: Nov
2020
Publication Type(s): Journal
Article
PubMedID: 33028085
Abstract:There is mounting evidence that lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) adults experience disparities across several cardiovascular risk factors compared with their cisgender heterosexual peers. These disparities are posited to be driven primarily by exposure to psychosocial stressors across the life span. This American Heart Association scientific statement reviews the extant literature on the cardiovascular health of LGBTQ adults. Informed by the minority stress and social ecological models, the objectives of this statement were (1) to present a conceptual model to elucidate potential mechanisms underlying cardiovascular health disparities in LGBTQ adults, (2) to identify research gaps, and (3) to provide suggestions for improving cardiovascular research and care of LGBTQ people. Despite the identified methodological limitations, there is evidence that LGBTQ adults (particularly lesbian, bisexual, and transgender women) experience disparities across several cardiovascular health metrics. These disparities vary by race, sex, sexual orientation, and gender identity. Future research in this area should incorporate longitudinal designs, elucidate physiological mechanisms, assess social and clinical determinants of cardiovascular health, and identify potential targets for behavioral interventions. There is a need to develop and test interventions that address multilevel stressors that affect the cardiovascular health of LGBTQ adults. Content on LGBTQ health should be integrated into health professions curricula and continuing education for practicing clinicians. Advancing the cardiovascular health of LGBTQ adults requires a multifaceted approach that includes stakeholders from multiple sectors to integrate best practices into health promotion and cardiovascular care of this population.
Database: Medline
Author(s): Wahlen,
Raphaël; Bize, Raphaël; Wang, Jen; Merglen, Arnaud; Ambresin, Anne-Emmanuelle
Source: PloS one;
2020; vol. 15 (no. 7); p. e0234743
Publication Date: 2020
Publication Type(s): Journal
Article
PubMedID: 32609754
Available at PloS
one - from Europe PubMed Central -
Open Access
Abstract:OBJECTIVESLesbian,
gay, bisexual, and transgender (LGBT) adolescents have specific health care
needs and are susceptible to health care disparities. Lack of skills and
knowledge on the part of health care providers have a negative effect on their
access to care and health outcomes. This study 1) explores the knowledge and
attitudes of medical students regarding LGBT people, and 2) assesses the impact
of a one-hour lecture targeting adolescent LGBT health needs.METHODSFourth-year
medical students attended a compulsory one-hour lecture on sexual orientation
and gender identity development in adolescence, highlighting health issues. We
created a questionnaire with items to elicit students' knowledge and attitudes
about LGBT health issues. Students were invited to complete this questionnaire
online anonymously one week before the lecture and one month after the
lecture.RESULTSOut of a total of 157 students, 107 (68.2%) responded to the
pre-intervention questionnaire and 96 (61.1%) to the post-intervention
questionnaire. A significant proportion-13.7% of all respondents-identified as
LGBT or questioning. Our results show that most medical students already show
favorable attitudes towards LGBT people and a certain degree of knowledge of
LGBT health needs. They demonstrated a large and significant increase in
knowledge of LGBT health issues one month after the lecture.DISCUSSIONA single
one-hour lecture on sexual orientation and LGBT health issues may increase knowledge
among medical students. Medical students and professionals should receive such
training to increase their knowledge about LGBT patients as it, together with
favorable attitudes, has the potential to improve health outcomes among this
vulnerable population.
Database: Medline
Author(s): Valenti,
Korijna G; Jen, Sarah; Parajuli, Jyotsana; Arbogast, Annabelle; Jacobsen, Anna
Liss; Kunkel, Suzanne
Source: Journal
of palliative medicine; Nov 2020; vol. 23 (no. 11); p. 1532-1539
Publication Date: Nov
2020
Publication Type(s): Journal
Article
PubMedID: 32835594
Abstract:Background:
Understanding end-of-life (EOL) and palliative care continues to grow. However,
little attention has been paid to the experiences, preferences, and needs of
older lesbian, gay, bisexual, transgender, and queer (LGBTQ) women. While some
universal expectations or preferences at EOL exist, this population may not
receive adequate or appropriate attention or reporting of unique EOL issues and
experiences. Objective: Systematically search for and narratively review
existing evidence concerning the expectations, preferences, and needs for
palliative and EOL care of LGBTQ older women. Design: A comprehensive
literature review was conducted in accordance with the Preferred Reporting
Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Articles
reporting needs, experiences, and perspectives of palliative care and EOL care
among LGBTQ older women were evaluated. Measurements: Articles published
between 1996 and 2019 were retrieved from PsycINFO, MEDLINE, Cochrane Library,
Academic Search Complete, AgeLine, CINHAL, PubMed, LGBT Life, SocINDEX, Women's
Studies International, Joanna Briggs Institute, and Open Grey. Results: A total
of 16 articles were included. Articles described several concerns for the
overall LGBTQ population; however, additional issues and experiences specific
to older LGBTQ women were also identified, including vulnerability associated
with isolation and poverty, women's social needs and support networks, and
preferences for complementary care. Conclusion: There remains a need for
further research with older LGBTQ women concerning palliative and EOL care, particularly
around preparation for EOL and preferences for support. Inclusion of diverse
populations in terms of sexual and gender identification are needed to fully
understand how to provide appropriate and preferred support.
Database: Medline
Author(s): Nowaskie,
Dustin Z; Patel, Anuj U; Fang, Ryan C
Source: PloS one;
2020; vol. 15 (no. 8); p. e0237670
Publication Date: 2020
Publication Type(s): Comparative
Study Multicenter Study Journal Article
PubMedID: 32790797
Available at PloS
one - from Europe PubMed Central -
Open Access
Abstract:BACKGROUNDEfforts
to characterize healthcare professional students' lesbian, gay, bisexual, and
transgender (LGBT) cultural competency are necessary to recommend educational
initiatives. Very few studies have evaluated LGBT cultural competency across
multiple healthcare disciplines, and no known studies have included students of
other healthcare disciplines such as occupational therapy, pharmacy, physical
therapy, and physician assistant.METHODSHealthcare professional students (N =
1701) at three universities across the United States completed a survey
consisting of demographics, experiential variables (i.e., LGBT patients and
LGBT curricular hours), and the 7-point Likert LGBT-Development of Clinical
Skills Scale (LGBT-DOCSS). LGBT-DOCSS scores, annual LGBT patients, and annual
LGBT curricular hours were compared across healthcare disciplines.RESULTSWhile
students reported very high Attitudinal Awareness (M = 6.48, SD = 0.92), they
endorsed moderate Basic Knowledge (M = 5.54, SD = 1.16) and low Clinical
Preparedness (M = 3.78, SD = 1.28). After controlling for several demographic
and experiential variables, there were significant differences among healthcare
disciplines on LGBT-DOCSS scores, with social work students reporting the
highest on all scores, and dental students reporting the lowest on all scores
except Clinical Preparedness. There were also significant differences among
healthcare disciplines on annual LGBT patients [mean range: 0.57 (dental) to
7.59 (physician assistant)] and annual LGBT curricular hours [mean range: 0.51
(occupational therapy) to 5.64 (social work)]. Experiential variables were
significant predictors for Overall LGBT-DOCSS, Clinical Preparedness, and Basic
Knowledge (all p < 0.001); LGBT patients was also a significant predictor
for Attitudinal Awareness (p < 0.05).CONCLUSIONSTaken together, significant
differences in LGBT cultural competency exist across healthcare disciplines,
which may result from inadequate experiences with LGBT patients and LGBT
curricular education. Future efforts should consider increasing LGBT patient
contact hours and LGBT formal education hours to enhance healthcare students'
LGBT cultural competency.
Database: Medline
The Aging Experiences of LGBTQ Ethnic
Minority Elders: A Systematic Review.
Author(s): Chen,
Jinwen; McLaren, Helen; Jones, Michelle; Shams, Lida
Source: The
Gerontologist; Sep 2020
Publication Date: Sep
2020
Publication Type(s): Journal
Article
PubMedID: 32941597
Abstract:BACKGROUND
AND OBJECTIVESIn gerontological research and practice, an increasing amount of
attention is being paid to lesbian, gay, bisexual, transgender and queer
(LGBTQ) older people and how their experiences differ from their heterosexual
and cisgender counterparts. However, LGBTQ elders themselves are not a
homogenous group. Moreover, as the immigrant populations in industrialized
nations age, the number of LGBTQ elders from ethnic minority backgrounds will only
grow. This systematic review hence investigates the experiences of LGBTQ ethnic
minority elders.RESEARCH DESIGN AND METHODSFollowing the PRISMA guidelines, we
conducted a systematic search in five databases for English peer-reviewed
studies. The retrieved articles were coded and analyzed inductively using an
intersectional framework to tease out the varying influences of ethnicity, age,
gender and sexual identity on the LGBTQ ethnic minority elders'
experiences.RESULTSA total of 30 articles across 17 studies (13 qualitative,
seven quantitative and one mixed methods) were identified. Six key themes
emerged from the studies: stigma and discrimination; isolation, support and
belonging, interactions with services and institutions, self-acceptance,
resilience and agency; mental health and wellbeing; and uncertain
futures.DISCUSSION AND IMPLICATIONSThe experiences of LGBTQ ethnic minority
elders echo those of LGBTQ ethnic majority elders when they are shaped by
gender and sexual identity factors. Nevertheless, significant differences in
experiences -both positive and negative-emerge when cultural and
ethnicity-related factors come to the fore. These findings emphasize the need
for intersectional aging policies and services that go beyond catering for
LGBTQ elders to include the diversity within this sub-population.
Database: Medline
How can we meet the support needs of LGBT
cancer patients in oncology? A systematic review.
Author(s): Webster,
R; Drury-Smith, H
Source: Radiography
(London, England : 1995); Aug 2020
Publication Date: Aug
2020
Publication Type(s): Journal
Article Review
PubMedID: 32800429
Abstract:OBJECTIVESApproximately
3.6 million people in the UK identify as lesbian, gay, bisexual and transgender
(LGBT). Fear of discrimination and lack of sexual orientation and gender
identity recording suggests LGBT people are invisible to health services. A
systematic review was conducted to critically analyse primary research
investigating psychosocial support needs for LGBT cancer patients during and
after treatment.KEY FINDINGSTwenty studies were included in the review; of
which ten were qualitative, seven quantitative and three mixed methods. The
main themes highlighted include health care professional knowledge and
education, negative impact on mental health, lack of inclusive support groups,
prevalence of discrimination within healthcare services and the disclosure or
non-disclosure of sexual orientation and gender identity.CONCLUSIONThe review
highlights how healthcare providers are failing LGBT cancer patients in
psychosocial support resulting in unmet needs. Recommendations have been made
to ensure an LGBT inclusive environment within cancer services, as well as the
need to develop support services for LGBT cancer patients.IMPLICATIONS FOR
PRACTICETraining should be provided for HCP staff in LGBT health and awareness.
Sexual orientation and gender identity recording and monitoring is important to
ensure LGBT people are not 'invisible' in oncology, radiotherapy and in future
research. LGBT cancer support groups and resources should be created, as the
review evidence suggests LGBT patients are actively looking for these
resources.
Database: Medline
