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Vous êtes ici : Accueil / Services, groupes et projets / Projet aîné·e·s LGBT / Bibliographie thématique / Enjeux: santé

Enjeux: santé

  • Abbruzzese, L. D., & Simon, P.. (2018). Special Concerns for the LGBT Aging Patient: What Rehab Professionals Should Know. Current Geriatrics Reports, 7(1), 26–36. doi:10.1007/s13670-018-0232-6.
    [Résumé]
    Purpose of Review The purpose of this review was to identify health disparities and culturally competent strategies for improving function and independence in a historically disadvantaged group. Recent Findings There are significant health disparities among LGBT older adults including increased disability rates, chronic conditions, and mental distress. There is a shift in the theoretical framework for addressing health disparities in LGBT older adults from an emphasis on minority stress theory, towards factors that facilitate resilience such as identity affirmation and social support networks. Summary Advocacy for cultural competency training and LGBT aging research is needed in multiple clinical domains including rehabilitation and geriatric care centers. There are very few studies that have identified effective intervention approaches for reducing mental health or mobility-related disparities in LGBT aging populations.

    Mots-clé: santé

  • Alba, B., Lyons, A., Waling, A., Minichiello, V., Hughes, M., Barrett, C., Fredriksen-Goldsen, K. I., & Edmonds, S.. (2019). Health, well-being, and social support in older Australian lesbian and gay care-givers. Health & Social Care in the Community, 28(1), 204–215. doi:10.1111/hsc.12854.
    [Résumé]
    Informal care-givers play an important role in society, and many of the people who provide this care are lesbian women and gay men. Being a care-giver is known to be associated with poorer health and well-being, and lesbian and gay care-givers re- port experiences of stigma and discrimination in the care-giving context. This study involved a survey of 230 lesbian women and 503 gay men aged 60 years and over living in Australia, of which 218 were care-givers. We compared care-givers to non- caregivers on a range of health and well-being measures, including psychological dis- tress, positive mental health, physical health and social support. While we found no significant differences between these two groups, we further compared care-givers who were caring for an LGBTI person to those who were caring for a non-LGBTI person. Among the lesbian women, care-givers of an LGBTI person reported feeling less supported in their carer role and reported lower levels of social support more generally. They were also lower on positive mental health and physical health indica- tors. Among the gay men, care-givers of an LGBTI person also reported feeling less supported in their carer role, but there were no differences in reported levels of social support more generally or health and well-being compared to those caring for a non-LGBTI person. Overall, results from this study suggest that older lesbian and gay care-givers may be facing some challenges related to their well-being and feeling supported, especially if they are caring for another LGBTI person.

    Mots-clé: proche aidance, santé

  • Berrut, S.. (2015). La santé des femmes qui aiment les femmes . [URL]

    Mots-clé: femmes lesbiennes, santé, Suisse

  • Bize, R., Volkmar, E., Berrut, S., Medico, D., Balthasar, H., Bodenmann, P., & Makadon, H. J.. (2018). Soins de qualité pour les personnes lesbiennes, gays, bisexuelles et transgenres. In Bodenmann, P., Jackson, Y. J., & Wolff, H. (Eds.), In Vulnérabilités, équité et santé (, pp. 173–185). Chêne-Bourg: .

    Mots-clé: pratique médicale, santé, Suisse

  • Emlet, C., Emlet, C. A., Jung, H., Kim, H., La Fazia, D., & Fredriksen-Goldsen, K. I.. (2020). Determinants of physical and mental health among LGBT older adult caregivers. Innovation in Aging, 3(S1), 345. doi:10.1080/00918369.2020.1804261.
    [Résumé]
    This study identifies the interconnected needs and concerns of sexual and gender minority (SGM) older adults, with a particular focus on housing, healthcare, transportation, and social support.

    Mots-clé: proche aidance, santé

  • Emlet, C. A.. (2016). Social, Economic, and Health Disparities Among LGBT Older Adults. Generations, 40(2), 16–22. doi:10.2307/26556193. [URL]

    Mots-clé: conditions de vie et finances, relations sociales, santé

  • Fredriksen-Goldsen, K. I., Kim, H., Shui, C., & Bryan, A. E. B.. (2017). Chronic Health Conditions and Key Health Indicators Among Lesbian, Gay, and Bisexual Older US Adults, 2013-2014. American Journal of Public Health, 107(8), 1332–1338. doi:10.2105/AJPH. [URL]

    Mots-clé: santé

  • Fredriksen-Goldsen, K. I., Kim, H., Shiu, C., Goldsen, J., & Emlet, C. A.. (2015). Successful Aging Among LGBT Older Adults: Physical and Mental Health-Related Quality of Life by Age Group. The Gerontologist, 55(1), 154–168. doi:10.1093/geront/gnu081. [URL]

    Mots-clé: santé

  • Fredriksen-Goldsen, K. I., Simoni, J. M., Kim, H., Lehavot, K., Walters, K. L., Yang, J., Hoy-Ellis, C. P., & Muraco, A.. (2014). The health equity promotion model: Reconceptualization of lesbian, gay, bisexual, and transgender (LGBT) health disparities.. American Journal of Orthopsychiatry, 84(6), 653–663. doi:10.1037/ort0000030.

    Mots-clé: intersectionnalité, recherche, santé

  • Fredriksen-Goldsen, K. I., Kim, H., 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, 103(10), 1802–1809. doi:10.2105/AJPH.2012.301110).
    [Résumé] [URL]
    Objectives. We investigated health disparities among lesbian, gay, and bi- sexual (LGB) adults aged 50 years and older. Methods. We analyzed data from the 2003{–}2010 Washington State Behav- ioral Risk Factor Surveillance System (n = 96 992) on health outcomes, chronic conditions, access to care, behaviors, and screening by gender and sexual orientation with adjusted logistic regressions. Results. LGB older adults had higher risk of disability, poor mental health, smoking, and excessive drinking than did heterosexuals. Lesbians and bisexual women had higher risk of cardiovascular disease and obesity, and gay and bisexual men had higher risk of poor physical health and living alone than did heterosexuals. Lesbians reported a higher rate of excessive drinking than did bisexual women; bisexual men reported a higher rate of diabetes and a lower rate of being tested for HIV than did gay men. Conclusions. Tailored interventions are needed to address the health dispar- ities and unique health needs of LGB older adults. Research across the life course is needed to better understand health disparities by sexual orientation and age, and to assess subgroup differences within these communities

    Mots-clé: santé

  • Fredriksen-Goldsen, K. I., Emlet, C. A., Kim, H., Muraco, A., Erosheva, E. A., Goldsen, J., & Hoy-Ellis, C. P.. (2013). The Physical and Mental Health of Lesbian, Gay Male, and Bisexual (LGB) Older Adults: The Role of Key Health Indicators and Risk and Protective Factors. The Gerontologist, 53(4), 664–675. doi:10.1093/geront/gns123. [URL]

    Mots-clé: santé

  • Fredriksen-Goldsen, K. I., Kim, H., Emlet, C. A., Muraco, A., Erosheva, E. A., Hoy-Ellis, C. P., Goldsen, J., & Petry, H.. (2011). The Aging and Health Report: Disparities and Resilience among Lesbian, Gay, Bisexual, and Transgender Older Adults Seattle: . [URL]

    Mots-clé: santé

  • Garcia Nuñez, D., & Jäger, M.. (2011). Comment aborder la question du sexe dans l’anamnèse des personnes homo- ou bisexuelles?. Forum Med Suisse, 11(12), 213–217.

    Mots-clé: santé, Suisse

  • Grossman, A. H., D’Augelli, A. R., & O’connell, T. S.. (2008). Being Lesbian, Gay, Bisexual, and 60 or Older in North America. Journal of Gay & Lesbian Social Services, 13(4), 23–40. doi:10.1300/J041v13n04_05.
    [Résumé] [URL]
    This study examined mental and physical health, per- ceived social support, and experiences with HIV/AIDS of 416 lesbian, gay, and bisexual adults aged 60 to 91. Most participants reported fairly high levels of self-esteem; however, many experienced loneliness. Most also reported low levels of internalized homophobia, but men reported significantly higher levels than women did. Ten percent of respondents sometimes or often considered suicide, with men reporting significantly more suicidal thoughts related to their sexual orientation. Men also had significantly higher drinking scores than women, and more men could be classified as problem drinkers. Only 11% of the respondents said that their health status interfered with the things they wanted to do. Although 93% of the participants knew people diagnosed with HIV/AIDS, 90% said that they were unlikely to be HIV-infected. Participants averaged six people in their support networks, most of whom were close friends. Most support network members knew about the participants{’} sexual ori- entation, and the respondents were more satisfied with support from those who knew. Those living with domestic partners were less lonely and rated their physical and mental health more positively than those living alone

    Mots-clé: relations sociales, santé, VIH

  • Hardacker, C. T., Ducheny, K., & Houlberg, M.. (2019). Transgender and Gender Nonconforming Health and Aging. Cham: Springer.

    Mots-clé: personnes trans*, santé

  • Hoy-Ellis, C. P., & Fredriksen-Goldsen, K. I.. (2016). Lesbian, gay, & bisexual older adults: linking internal minority stressors, chronic health conditions, and depression. Aging & Mental Health, 20(11), 1119–1130. doi:10.1080/13607863.2016.1168362.

    Mots-clé: santé

  • Hughes, M.. (2019). Health and well-being of lesbians, gay men and bisexual people in later life: examining the commonalities and differences from quantitative research. In Intersections of ageing, gender and sexualities: Multidisciplinary international perspectives (, pp. 191–208). Bristol: Policy Press.

    Mots-clé: santé

  • Jessup, M. A., & Dibble, S. L.. (2012). Unmet Mental Health and Substance Abuse Treatment Needs of Sexual Minority Elders. Journal of Homosexuality, 59(5), 656–674. doi:10.1080/00918369.2012.665674.
    [Résumé] [URL]
    In a survey exploring the reliability and validity of a screening tool, we explored the substance abuse and mental health issues among 371 elders; 74 were sexual minorities. Analyses by age group indi- cated that elders 55{–}64 years had significantly more problems with substance abuse, posttraumatic stress disorder (PTSD), depression, anxiety, and suicidal thoughts compared to those 65 and older. Bisexuals reported significantly greater problems with depression, anxiety, and suicidality than either heterosexual or lesbian or gay elders. Mental health and substance abuse treatment utiliza- tion was low among all elders with problems. Implications for assessment, access to care, and group-specific services delivery are discussed.

    Mots-clé: santé

  • LZG. (2018). Pflege unterm Regenbogen: Über den Umgang mit homosexuellen, bisexuellen, transidenten und intersexuellen Menschen in der Kranken- und Altenpflege Mainz: .

    Mots-clé: formation à la diversité, santé

  • Lyons, A., Alba, B., Waling, A., Minichiello, V., Hughes, M., Barrett, C., Fredriksen-Goldsen, K. I., Edmonds, S., & Blanchard, M.. (2019). Recent versus lifetime experiences of discrimination and the mental and physical health of older lesbian women and gay men. Ageing and Society, 1–22. doi:10.1017/S0144686X19001533.
    [Résumé]
    This study examines the potential health-related impact of recent versus lifetime experi- ences of sexual orientation discrimination among older Australian lesbian women and gay men. In a nationwide survey, a sample of 243 lesbian women and 513 gay men aged 60 years and over reported on their experiences of sexual orientation discrimination and their mental and physical health, including psychological distress, positive mental health and self-rated health. Among both lesbian women and gay men, recent discrimin- ation uniquely predicted lower positive mental health after adjusting for experiences of discrimination across the lifetime and socio-demographic variables. In addition, recent discrimination uniquely predicted higher psychological distress among gay men. Experiences of discrimination over the lifetime further predicted higher psychological dis- tress and poorer self-rated health among gay men after adjusting for recent experiences of discrimination and socio-demographic variables. However, there were no associations between lifetime discrimination and any of the outcome variables among lesbian women. Overall, recent and lifetime experiences of sexual orientation discrimination were related to mental and physical health in different ways, especially among the men. These findings have potential implications for policy/practice, and suggest that distin- guishing between recent and lifetime experiences of discrimination may be useful when assessing potential health-related impacts of sexual orientation discrimination among older lesbian women and gay men, while also taking account of differences between these two groups.

    Mots-clé: santé

  • PREOS. (2012). Vers l’égalité des chances en matière de santé pour les personnes LGBT: le rôle du système de santé Lausanne: . [URL]

    Mots-clé: santé, Suisse

  • Peisah, C., Burns, K., Edmonds, S., & Brodaty, H.. (2018). Rendering visible the previously invisible in health care: the ageing LGBTI communities. The Medical Journal of Australia, 209(3), 106–108.e1. doi:10.5694/mja17.00896.

    Mots-clé: santé

  • Poteat, M. A. A. T., Adams, M. A., & Poteat, T.. (2016). ZAMI NOBLA: Preserving History and Fostering Wellness in Black Lesbians. Generations, 40(2), 80–82. doi:10.2307/26556211. [URL]

    Mots-clé: relations sociales, santé

  • Rowan, N. L., & Giunta, N.. (2015). Lessons on social and health disparities from older lesbians with alcoholism and the role of interventions to promote culturally competent services. Journal of Human Behavior in the Social Environment, 26(2), 210–216. doi:10.1080/10911359.2015.1083504.
    [Résumé]
    Older adults who are lesbian, gay, bisexual, or transgender (LGBT) face greater health risks and possibly more costly care because of their reluctance to seek out health and long-term care services because of limited cultural sensitivity of service providers. This is particularly evident in older lesbians who face substantial risk of health problems associated with alcoholism and are less likely to be open with health care providers because of stigma combined with feelings of alienation, stress, and depression. An estimated 4.4 million older adults are predicted to have problems with alcohol by 2020, and the rates of alcohol-related hospi- talizations are similar to those for heart attacks, creating exorbitant medical costs. More culturally competent health and long-term care may reduce health care costs by effectively addressing the dynamics of alcoholism, aging, and lesbian culture. Training initiatives such as those developed by the National Resource Center on LGBT Aging have begun to address the need of a more culturally competent aging services net- work. This article provides exemplars from empirical data on older les- bians with alcoholism to highlight some of the health, economic, and social disparities experienced in the aging LGBT community. Current interventions in the form of cultural competence training for service providers are presented as a potential step toward addressing health disparities among LGBT older adults.

    Mots-clé: femmes lesbiennes, santé

  • Wallace, S. P., Cochran, S. D., Durazo, E. M., & Ford, C. L.. (2011). The Health of Aging Lesbian, Gay and Bisexual Adults in California. Los Angeles: UCLA Center for Health Policy Research. [URL]

    Mots-clé: santé

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