LGBTI attitudes towards and experiences of aged care: Results of an exploratory survey.

Tom McClean
Author Information
  1. Tom McClean: Uniting NSW/ACT, Sydney, NSW, Australia. ORCID

Abstract

OBJECTIVE: To gather views of older LGBTI (Lesbian, Gay, Bisexual, Transgender and Intersex) people on their experiences and expectations of aged care.
METHODS: An online survey of participants recruited through a large provider in NSW, Australia, and three organisations in the LGBTI community.
RESULTS: Respondents were older members of the LGBTI community, with a range of kinds of experience of aged care (including as clients, workers and advocates). They were somewhat skewed towards regional areas and many reported different kinds of vulnerability. They reported feeling safe to disclose their LGBTI status when engaging with services and not having difficulties on that basis. However, most disagreed that services currently meet the needs of LGBTI people. They said visible signs of welcome, inclusive language, treating disclosures sensitively and managing relations with partners and family were most important for older LGBTI people. Their own choices about aged care would be influenced by service inclusiveness and quality. There were no clear trends by demography, vulnerability or other characteristics.
CONCLUSIONS: Providers should continue to focus on inclusiveness, and improve support for managing relations with family.

Keywords

References

  1. Kimmel D. Lesbian, gay, bisexual, and transgender aging concerns. Clin Gerontol. 2013;37(1):49-63.
  2. Spencer SM, Patrick JH. Revisiting traditional survey methodology to recruit and survey lesbian, gay, and bisexual older adults. In: Streiner DL, Sidani S, eds. When Research Goes Off The Rails: Why It Happens and What You Can Do About It: Guilford Press; 2010:211-218.
  3. Hughes M. Loneliness and social support among lesbian, gay, bisexual, transgender and intersex people aged 50 and over. Age Soc. 2016;36(9):1961-1981.
  4. Waling A, Lyons A. ���I will euthanise myself before I go into aged care���: how aged care is failing LGBTI+ people Parkville, Victoria: The Conversation. 2020. https://theconversation.com/i-will-euthanise-myself-before-i-go-into-aged-care-how-aged-care-is-failing-lgbti-people-131306.
  5. McLean K. Living life in the double closet: bisexual youth speak out. Hecate. 2001;27(1):109-115.
  6. Fredriksen-Goldsen KI, Kim HJ, McKenzie GL, Krinsky L, Emlet CA. Plan of Action for real-world translation of LGBTQ health and aging research. LGBT Health. 2017;4(6):384-388.
  7. Lee A. Finding the way to the end of the rainbow: A researcher's insight investigating British Older Gay Men's Lives. Sociological Research Online. 2017;13(1):90-103.
  8. Fredriksen-Goldsen KI, Kim HJ. The science of conducting research with LGBT older adults- an introduction to aging with pride: National Health, Aging, and Sexuality/Gender Study (NHAS). Gerontologist. 2017;57(suppl 1):S1-S14.
  9. Dicks M, Santoro E, Teulan S. Welcoming and celebrating diversity: The Uniting journey of learning on inclusive practice. Australas J Ageing. 2015;34(Suppl 2):26-28.
  10. McClean T, Couper C, Olsen K. LGBTI experiences of aged care. Analysis of results of online survey Sydney: Uniting. 2020. https://www.uniting.org/content/dam/uniting/documents/community-impact/research-and-innovation/Report-(LGBTI-and-Aged-Care).pdf.
  11. ACON. ACON - We are a New South Wales based health promotion organisation specialising in HIV prevention, HIV support and lesbian, gay, bisexual, transgender and intersex (LGBTI) health. Sydney: ACON. 2021. https://www.acon.org.au/.
  12. Celebrate Ageing. Celebrate Ageing - Building Respect for Older People. c: Celebrate Ageing; 2013. https://www.celebrateageing.com/.
  13. National LGBTI Health Alliance. LGBTIQ+ Health Australia Sydney: LGBTIQ+ Health Australia. 2021. www.lgbtihealth.org.au.
  14. Harris P, Taylor R, Thielke R, Payne J, Gonzalez N, Conde J. Research electronic data capture (REDCap) - A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377-381.
  15. Harris PA, Taylor R, Minor BL, et al. The REDCap consortium: building an international community of software platform partners. J Biomed Inform. 2019;95:103208.
  16. R Core Team. R. A language and environment for statistical computing. R Foundation for Statistical Computing; 2019.

MeSH Term

Aged
Attitude
Female
Homosexuality, Female
Humans
Sexual and Gender Minorities
Surveys and Questionnaires
Transgender Persons
Male

Word Cloud

Created with Highcharts 10.0.0LGBTIagedolderpeoplecareservicesexperiencessurveycommunitykindstowardsreportedvulnerabilitymanagingrelationsfamilyinclusivenessOBJECTIVE:gatherviewsLesbianGayBisexualTransgenderIntersexexpectationsMETHODS:onlineparticipantsrecruitedlargeproviderNSWAustraliathreeorganisationsRESULTS:RespondentsmembersrangeexperienceincludingclientsworkersadvocatessomewhatskewedregionalareasmanydifferentfeelingsafedisclosestatusengagingdifficultiesbasisHoweverdisagreedcurrentlymeetneedssaidvisiblesignswelcomeinclusivelanguagetreatingdisclosuressensitivelypartnersimportantchoicesinfluencedservicequalitycleartrendsdemographycharacteristicsCONCLUSIONS:Providerscontinuefocusimprovesupportattitudescare:Resultsexploratoryconsumerpreferencehealthhomessexualsexminorities

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