IDEAS home Printed from https://ideas.repec.org/a/sae/clnure/v32y2023i2p256-269.html

Healthcare Worker Perceptions of LGBTQ+ Older Adults: Integrative Review

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/10547738221147266
    Download Restriction: no
    File URL: https://libkey.io/10.1177/10547738221147266?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Eric French & Elaine Kelly & Richard Cookson & Carol Propper & Miqdad Asaria & Rosalind Raine, 2016. "Socio‐Economic Inequalities in Health Care in England," Fiscal Studies, Institute for Fiscal Studies, vol. 37, pages 371-403, September.
    2. Omer Sagie, 2016. "Well-Being in Older Gays and Lesbians: A Comparison of Predictors," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 126(1), pages 395-409, March.
    3. Treena Orchard & Katherine Salter & Mary Bunch & Cecilia Benoit, 2020. "Money, Agency, and Self-Care among Cisgender and Trans People in Sex Work," Social Sciences, MDPI, vol. 10(1), pages 1-14, December.
    4. Katz, Arlene M. & Alegría, Margarita, 2009. "The clinical encounter as local moral world: Shifts of assumptions and transformation in relational context," Social Science & Medicine, Elsevier, vol. 68(7), pages 1238-1246, April.
    5. Fujishiro, Kaori & Xu, Jun & Gong, Fang, 2010. "What does "occupation" represent as an indicator of socioeconomic status?: Exploring occupational prestige and health," Social Science & Medicine, Elsevier, vol. 71(12), pages 2100-2107, December.
    6. Christopher S. Carpenter & Samuel T. Eppink & Gilbert Gonzales, 2020. "Transgender Status, Gender Identity, and Socioeconomic Outcomes in the United States," ILR Review, Cornell University, ILR School, vol. 73(3), pages 573-599, May.
    7. Druckman, James N. & Levy, Jeremy & Sands, Natalie, 2021. "Bias in education disability accommodations," Economics of Education Review, Elsevier, vol. 85(C).
    8. Hernandez, Elaine M., 2013. "Provider and patient influences on the formation of socioeconomic health behavior disparities among pregnant women," Social Science & Medicine, Elsevier, vol. 82(C), pages 35-42.
    9. Katarzyna Gajek, 2025. "Stigma Protection. Parents Supporting the Well-being of Transgender/Non-binary Children," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 18(2), pages 695-718, April.
    10. Trudy Owens & Nikos Evangelou & David Whynes, 2013. "Rationing and deprivation: disease-modifying therapies for multiple sclerosis in the United Kingdom," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(2), pages 315-321, April.
    11. Peek, Monica E. & Odoms-Young, Angela & Quinn, Michael T. & Gorawara-Bhat, Rita & Wilson, Shannon C. & Chin, Marshall H., 2010. "Race and shared decision-making: Perspectives of African-Americans with diabetes," Social Science & Medicine, Elsevier, vol. 71(1), pages 1-9, July.
    12. Shawna Hopper & Nicole G. Hammond & Arne Stinchcombe, 2022. "Satisfaction with Life in Mid-Age and older Canadians in the CLSA: Examining Personality and Minority Stress," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 17(6), pages 3455-3473, December.
    13. Gordon, Allegra R. & Austin, S. Bryn & Krieger, Nancy & White Hughto, Jaclyn M. & Reisner, Sari L., 2016. "“I have to constantly prove to myself, to people, that I fit the bill”: Perspectives on weight and shape control behaviors among low-income, ethnically diverse young transgender women," Social Science & Medicine, Elsevier, vol. 165(C), pages 141-149.
    14. Dovidio, John F. & Penner, Louis A. & Albrecht, Terrance L. & Norton, Wynne E. & Gaertner, Samuel L. & Shelton, J. Nicole, 2008. "Disparities and distrust: The implications of psychological processes for understanding racial disparities in health and health care," Social Science & Medicine, Elsevier, vol. 67(3), pages 478-486, August.
    15. Ruqaiijah Yearby, 2018. "Racial Disparities in Health Status and Access to Healthcare: The Continuation of Inequality in the United States Due to Structural Racism," American Journal of Economics and Sociology, Wiley Blackwell, vol. 77(3-4), pages 1113-1152, May.
    16. Hagiwara, Nao & Penner, Louis A. & Gonzalez, Richard & Eggly, Susan & Dovidio, John F. & Gaertner, Samuel L. & West, Tessa & Albrecht, Terrance L., 2013. "Racial attitudes, physician–patient talk time ratio, and adherence in racially discordant medical interactions," Social Science & Medicine, Elsevier, vol. 87(C), pages 123-131.
    17. Geva Shenkman & Kfir Ifrah & Dov Shmotkin, 2023. "The Association of Couplehood and Parenthood with the Hedonic and Eudaimonic Well-Being of Older Gay Men," Journal of Happiness Studies, Springer, vol. 24(4), pages 1419-1437, April.
    18. Nordin, Martin & Dackehag, Margareta & Gerdtham, Ulf-G., 2013. "Socioeconomic inequalities in drug utilization for Sweden: Evidence from linked survey and register data," Social Science & Medicine, Elsevier, vol. 77(C), pages 106-117.
    19. Gordon, Howard S. & Street, Richard Jr. & Adam Kelly, P. & Souchek, Julianne & Wray, Nelda P., 2005. "Physician-patient communication following invasive procedures: an analysis of post-angiogram consultations," Social Science & Medicine, Elsevier, vol. 61(5), pages 1015-1025, September.
    20. Shannon, Matthew, 2022. "The labour market outcomes of transgender individuals," Labour Economics, Elsevier, vol. 77(C).

    More about this item

    Keywords

    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:clnure:v:32:y:2023:i:2:p:256-269. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.