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Healthcare Worker Perceptions of LGBTQ+ Older Adults: Integrative Review

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  • Jennifer T. May
  • Janice D. Crist

Abstract

Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) older adults (OAs) may require care in long-term care (LTC), assisted living, and home health settings. Healthcare workers’ (HCWs, e.g., registered nurses, social workers, certified nursing assistants, home health aides) perceptions and attitudes could influence care, health disparities, and outcomes. The aim of this integrative review was to discover what is known about HCWs’ perceptions toward LGBTQ+ OAs. Searched databases included PsycINFO, PubMed, CINAHL, and Web of Science. Quality review assessment was conducted separately by two reviewers; Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were followed. A total of 370 studies were identified; 10 studies were included in the review. Five studies were quantitative, four were qualitative, and one was a mixed methods study. Major themes included preparedness/training, responsibility of disclosure, and clinical practice. HCW’s perceptions may be associated with discriminatory care and health disparities in the LGBTQ+ OA population.

Suggested Citation

  • Jennifer T. May & Janice D. Crist, 2023. "Healthcare Worker Perceptions of LGBTQ+ Older Adults: Integrative Review," Clinical Nursing Research, , vol. 32(2), pages 256-269, February.
    • Handle: RePEc:sae:clnure:v:32:y:2023:i:2:p:256-269
    DOI: 10.1177/10547738221147266
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    References listed on IDEAS

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    1. Fredriksen-Goldsen, K.I. & Kim, H.-J. & Barkan, S.E. & Muraco, A. & Hoy-Ellis, C.P., 2013. "Health disparities among lesbian, gay, and bisexual older adults: Results from a population-based study," American Journal of Public Health, American Public Health Association, vol. 103(10), pages 1802-1809.
    2. van Ryn, Michelle & Burke, Jane, 2000. "The effect of patient race and socio-economic status on physicians' perceptions of patients," Social Science & Medicine, Elsevier, vol. 50(6), pages 813-828, March.
    3. Conron, K.J. & Scott, G. & Stowell, G.S. & Landers, S.J., 2012. "Transgender health in massachusetts: Results from a household probability sample of adults," American Journal of Public Health, American Public Health Association, vol. 102(1), pages 118-122.
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    1. Bartels, Mik S. & Tseung-Wong, Caroline Ng & Crisp, Dimity A. & Brown, Patricia M., 2025. "Dimensions of cisheteronormativity that influence healthcare utilization practices in LGBTQ+ populations: A systematic review," Social Science & Medicine, Elsevier, vol. 371(C).
    2. Mel Duffy & Giovanni Frazzetto & Anthony Staines & Anne Matthews & James Geoghegan & Collette Gleeson & Claire Mooney & James O'Hagan & Sean Vail, 2024. "A Scoping Review of Older LGBTI People's Experiences of Homecare," Social Inclusion, Cogitatio Press, vol. 12.

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