scholarly journals Divides Within the LGBT Community: Exploring the Impact of Generational Stereotypes

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 531-532
Author(s):  
Kinsey Bryant-Lees ◽  
Mary Kite
Keyword(s):  
Older Adults ◽  
Mentally Ill ◽  
Generational Differences ◽  
Coming Of Age ◽  
Hate Crimes ◽  
Lgbt Youth ◽  
Lgbt Community ◽  
Lgbt People ◽  
And Gender ◽  
The Impact

Abstract Age is a unique, often overlooked, aspect of identity, which is particularly problematic within the LGBT community. While sexuality, sexual orientation, and gender identity are central to the identities of LGBT people, they are verboten for older adults. Thus, older LGBT individuals’ voices are inadvertently silenced. This talk will present data that demonstrates the reinforcing role that stereotypes play in maintaining the generational divide and address some of the unique inter-generational differences within the LGBT+ community that arise from differential experiences of cultural acceptance and historical events of LGBT youth coming of age across decades. For example, in the 1970’s the DSM criteria would have classified LGBT people as mentally ill; stark contrast to the 2010’s in which LGBT youth have grown up with legal protections against hate crimes, and marriage equality as a basic right. We will conclude with a discussion on cultivating community and productive conversations across generations.

scholarly journals Health Inequities in LGBT People and Nursing Interventions to Reduce Them: A Systematic Review

2021 ◽  
Vol 18 (22) ◽  
pp. 11801
Author(s):  
Jorge Medina-Martínez ◽  
Carlos Saus-Ortega ◽  
María Montserrat Sánchez-Lorente ◽  
Eva María Sosa-Palanca ◽  
Pedro García-Martínez ◽  
...  
Keyword(s):  
Systematic Review ◽  
Healthcare System ◽  
Health Professionals ◽  
Health Inequities ◽  
Health Needs ◽  
Lgbt Community ◽  
Lgbt People ◽  
And Gender ◽  
The Impact ◽  
Specific Health

Background: Lesbian, gay, bisexual, and transgender (LGBT) people present poorer mental and physical health results compared to the heterosexual and cisgender population. There are barriers in the healthcare system that increase these health inequities. Objective: To synthesise the available evidence on how nurses can intervene in reducing health inequities in LGBT people, identifying their specific health needs and describing their experiences and perceptions of the barriers they face in the healthcare system. Methods: Systematic review. Between March and April 2021, a bibliographic search was carried out in the Cuiden, LILACS, PubMed, Dialnet, SciELO, Trip Database, and Web of Science databases and metasearch engines. Inclusion criteria: Articles published in the last 5 years that address the specific health needs of LGBT people, their experiences and perceptions, or interventions in this group in which nurses may engage. Results: A total of 16 articles were selected. Health disparities were detected in the LGBT community, which exhibited higher rates of mental health problems, substance abuse, risky sexual behaviours, self-harm, and suicide. These inequalities were related to minority stress, and each of them differently impacted individual populations within the broader LGBT community depending on their sexual orientations and gender identities. The impact of these factors was, in turn, modified by the intersections of race/ethnicity, geographic region, and socioeconomic factors. LGBT people described discriminatory experiences by health professionals, as well as their distrust and fear in this setting. Nurses can carry out interventions such as inclusive education about sex and sexual and gender diversity and bullying and suicide prevention programmes, and can provide gender-affirming and family-centred care. Conclusions: LGBT people experience health inequities and discrimination in the healthcare system. Nurses can implement diverse interventions to reduce these problems and, moreover, these health professionals are obliged to acquire cultural competence regarding LGBT health.

The Impact of Marital Status and Gender on Leisure Values of Older Adults

2015 ◽  
Vol 39 (3) ◽  
pp. 183-199 ◽  
Author(s):  
Karen Gsellmeier ◽  
Lynda J. Cochran ◽  
Jason Dauenhauer
Keyword(s):  
Older Adults ◽  
Marital Status ◽  
And Gender ◽  
The Impact

scholarly journals Failing to Plan Is Planning to Fail: Utilization of Advance Care Directives in Older Adults Living With HIV

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 221-221
Author(s):  
Annie Nguyen ◽  
Anna Egbert ◽  
Mark Brennan-Ing ◽  
Stephen Karpiak ◽  
Paul Nash
Keyword(s):  
Older Adults ◽  
Chronic Conditions ◽  
Significant Relationships ◽  
Sexuality And Gender ◽  
The Us ◽  
Advance Care Directives ◽  
Advance Care ◽  
And Gender ◽  
Living With Hiv ◽  
The Impact

Abstract Advance Care Planning (ACP) makes up an integral part of the care continuum, especially for those living with chronic conditions such as HIV. Little research exists to understand how intersections of race, gender, sexuality and gender identity combine to influence the choices made by older adults living with HIV regarding ACP. The Research on Older Adults with HIV (ROAH) 2 study collected data from across the US and investigated the incidence and range of ACP amongst those 50+ living with HIV. Correlational analysis indicated that being White was significantly related to having at least one directive (R=0.070, p=0.035) where being African American correlated negatively with several forms of ACP. Additionally, there were also significant relationships between being Transgender, being gay, and being a woman as to the engagement with ACP options. Further analysis explored the impact of finance, self-rated health and social support networks.

LGBT People as a Relatively Politically Powerless Group

2020 ◽  
Author(s):  
Andrew Proctor
Keyword(s):  
Voting Behavior ◽  
Social Institutions ◽  
Power Asymmetries ◽  
Lgbt Community ◽  
Bisexual And Transgender ◽  
Lgbt People ◽  
And Gender ◽  
Distribution Of Power ◽  
Definition Of ◽  
Power And Powerlessness

As a group engaged in struggles for representation and inclusion, lesbian, gay, bisexual, and transgender (LGBT) people have vied for access to social and political power. There is little dispute that LGBT people are a relatively powerless group in society, but the extent to which the group is powerless is subject to debate in political science. Scholars disagree over the extent of powerlessness because the definition of power is contested among political scientists. As such, scholars have examined the powerlessness of LGBT people in varying ways and reached different conclusions about the success the group has had in achieving rights and visibility. LGBT powerlessness emerges from the group’s status as sexual and gender minorities. Over time, the boundaries that constitute the group have shifted in response to power asymmetries between LGBT people and cisgender, heterosexuals who control access to political and social institutions. In addition, power asymmetries have emerged within the LGBT community at the intersection of race, class, and gender as well as across subgroups of the acronym LGBT. Thus, the distribution of power and powerlessness vary within the group as well as between the group and dominant groups in society. These within- and across-group variations in power shape LGBT group boundaries, representation and public opinion, and voting behavior. The powerlessness of LGBT people must be understood in relation to these contingencies that define the group’s boundaries, and the ways in which power is distributed within and across groups.

Predicting future cancer incidence by age and gender.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 1559-1559 ◽  
Author(s):  
Wesley B. Garner ◽  
Benjamin D. Smith ◽  
Jacob Ezra Shabason ◽  
Grant Richard Williams ◽  
Michelle Y. Martin ◽  
...  
Keyword(s):  
Older Adults ◽  
Cancer Incidence ◽  
The United States ◽  
Incidence Rates ◽  
Population Projections ◽  
Age And Gender ◽  
Total Cancer ◽  
And Gender ◽  
The Impact ◽  
Cancer Incidence Rates

1559 Background: Cancer remains a substantial and unique burden on society. While the impact of changing demographics on cancer incidence has previously been characterized (Smith et al, JCO, 2009), this has not been done with updated population data. Our objective was to update projections on the number of new cancer diagnoses in the United States by age and gender through 2040. Methods: Population-based cancer incidence data were obtained using SEER 18 delay-adjusted data. Population estimates were made by age, race, and gender using the 2010 US Census data population projections to calculate future cancer incidence rates. Trends in age- adjusted incidence rates for 23 cancer types were calculated as previously described (Edwards et al, Cancer, 2014). Results: From 2020 to 2040 the projected total cancer incidence will increase by almost 30% from 1.86 million to 2.4 million. This increase is due to the projected increase in population growth, particularly in older individuals. The population of older adults will represent a growing proportion of total cancer diagnoses. Specifically, patients ≥65 years old will make up 69% of all new cancer diagnoses, while 13% of new diagnoses will be in patients ≥85 years old by 2040 (see Table). Cancer diagnoses in females are projected to rise 27%, while male cancer diagnoses are projected to increase by 32% from 2020 to 2040. The incidence rates for lung, colorectal, and prostate cancer are expected to decline, while those for thyroid, liver, melanoma and myeloma are expected to increase. Conclusions: The landscape of cancer care will continue to change over the next several decades. The burden of disease will remain substantial and will continue to disproportionately affect older adults. The growing proportion of older cancer patients and changes in site-specific cancer incidence rates remain of particular interest. These projections should help guide future health policy and research priorities. [Table: see text]

scholarly journals IMPACT OF SOCIAL SUPPORT AND STRAIN ON DEPRESSIVE SYMPTOMS: MARITAL STATUS AND GENDER DIFFERENCES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S919-S919
Author(s):  
Deborah Carr ◽  
Yeonjung Jane Lee
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Marital Status ◽  
Late Life ◽  
Well Being ◽  
Negatively Associated ◽  
Fine Grained ◽  
And Gender ◽  
The Impact

Abstract Social relationships are a well-established correlate of late-life well-being. Extensive research finds social support is associated with fewer depressive symptoms, yet few studies distinguish fine-grained types of support from spouse, children, other family and friends, nor whether these linkages differ by gender and marital status. Studies exploring coarse associations between support and well-being may conceal gender and marital status differences. We use data from two waves of the Health and Retirement Study (HRS; 2006 and 2010) to study fine-grained linkages between diverse types of relationship strain and support and depressive symptoms (CESD) among adults aged 51+. The results show that the association between support/strain and depressive symptoms varies based on the source of support. For instance, among married/partnered older adults, spousal support is negatively associated with depressive symptoms whereas friend strain is positively associated with depressive symptoms. Among widowed respondents, friend support is negatively associated with depressive symptoms. These marital status patterns differed by gender however, such that the impact of friend strain on depressive symptoms was especially large for divorced men. Our results suggest that no single form of social support (or strain) is uniformly protective (or distressing), so services and interventions to enhance late-life mental health should more fully consider older adults’ social location, including gender and marital status. For current cohorts of older adults, who have lower rates of marriage and childbearing than their predecessors, it is critically important to understand both the levels and impacts of alternative sources of support from other kin and friends.

scholarly journals THE REVOLUTION OF DIGNITY AND INSTRUMENTALISATION OF LGBT RIGHTS: HOW DID ATTITUDES TOWARDS LGBT PEOPLE CHANGE IN UKRAINE AFTER EUROMAIDAN?

2021 ◽  
pp. 127-150
Author(s):  
OLEKSII SHESTAKOVSKI ◽  
MAKSYM KASIANCZUK ◽  
OLESIA TROFYMENKO
Keyword(s):  
European Union ◽  
Public Perception ◽  
The European Union ◽  
Lgbt Rights ◽  
Association Agreement ◽  
Lgbt Community ◽  
Lgbt People ◽  
The Impact ◽  
Lgbt Individuals ◽  
The Revolution

The aftermath of Ukraine’s Revolution of Dignity provoked a lot of criticism among the students of LGBT topics. The principles of non-discrimination and protection of LGBT rights are an exemplary manifestation of European values to which Euromaidan declared adherence. The Association Agreement between Ukraine and the European Union, which was signed after the Revolution, as well as visa-free travel, which was granted to Ukrainian citizens, obliged this country to liberalise LGBT-related laws due to the EUʼs policy on the instrumentalisation of LGBT rights. However, there is a view that this step may cause conflicts in Ukrainian society, which is still predominantly homophobic, and only lead to a superficial change in the condition of LGBT people owing to pressure from the European Union. Some scholars (e.g. Shevtsova [2020], Wannebo [2017]) claim that the instrumentalisation policy has even resulted in a backlash against the LGBT community and worsened the overall situation for them. But has this backlash (if it really happened) entailed a corresponding change in public opinion on LGBT issues? Surprisingly, the dynamics of public attitudes towards the LGBT community and their rights remain unexplored. The paper proposes to fill this gap by a comparative analysis of two cross-sectional surveys on this topic, which were conducted before (in 2013) and after (in 2016) the Revolution of Dignity in several regions of Ukraine. Within the framework of the study, three research questions have been posed: 1. Have Ukrainians’ attitudes towards the LGBT community changed since Euromaidan? 2. How different (e. g. positive) were the attitudes towards LGBT people among Euromaidan supporters? 3. Have the events that happened after the Revolution of Dignity, such as Russia is hybrid war against Ukraine, been able to affect attitudes towards LGBT rights? The results show that there have been modest, albeit statistically significant positive changes in Ukrainians’ attitudes towards the LGBT community since Euromaidan. However, practically no change in terms of support for LGBT rights has been recorded. Our findings are consistent with other relevant nationally representative surveys according to which public perception of LGBT individuals has not worsened. This fact suggests that the instrumentalisation of LGBT rights has not faced any backlash, at least from the general population. Other data in our study indicate that not all proponents of the Revolution of Dignity displayed favourable attitudes towards LGBT people; nevertheless, they held more positive views on the LGBT community and same-sex marriage than those who did not take part in Euromaidan. The respondents who have experienced the impact of the Donbas conflict also demonstrated relatively better attitudes to LGBT individuals and expressed support for their rights. Still, this may be linked to a significant percentage of Euromaidan participants among them.

scholarly journals PALLIATIVE AND END-OF-LIFE CARE TO THE LGBT COMMUNITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S623-S623
Author(s):  
Gary L Stein ◽  
Cathy Berkman
Keyword(s):  
Older Adults ◽  
Health Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Care Providers ◽  
Term Care ◽  
The Us ◽  
Lgbt Community ◽  
And Gender

Abstract The lesbian, gay, bisexual, and transgender (LGBT) community experiences discrimination and stigma in accessing health care and social services – including palliative, hospice, and long-term care – across cultures and countries. Health care providers may fail to recognize, acknowledge or address disparities in care. Providers and institutions may be uncomfortable with gender and sexuality issues, and often fail to inquire about sexual orientation and gender identity. It is estimated that there are approximately 2.7 million LGBT adults in the U.S. age 50 and older and approximately 1.1 million age 65 and older. In the UK, an estimated 5-7% of the population identify as LGBT; there are between 600,000 and 840,000 LGBT adults aged 65+. With the projected increased number of older adults and improved treatments that extend the life of seriously ill individuals, even greater numbers of LGBT older adults, and their families, will require palliative and end-of-life in the coming years. Researchers in the US and UK have found that LGBT older adults living in the community and in long-term care facilities experience inadequate, disrespectful, and abusive care due to their sexual orientation and gender identity status. They fear being open about their identities, not receiving equal or safe treatment, and having their family of choice and designated surrogates disrespected or ignored by health care staff. This symposium will describe the experiences of LGBT individuals and their family members, and compare commonalities and differences faced by LGBT communities in the US and UK in accessing palliative and end-of-life care.

scholarly journals Kenya: Community sensitization must precede alternative coming-of-age rite

2002 ◽  
Author(s):  
Keyword(s):  
Gender Equity ◽  
Female Circumcision ◽  
Coming Of Age ◽  
Female Genital Cutting ◽  
Cultural Norms ◽  
Rite Of Passage ◽  
Group Discussions ◽  
And Gender ◽  
Life Education ◽  
The Impact

Female genital cutting (FGC) is practiced as a rite of passage in over half of Kenya’s districts. Kenyan nongovernmental agency Maendeleo Ya Wanawake (MYWO) has long conducted community sensitization focused on discouraging this practice. In 1996, MYWO began implementing the “alternative rite” (AR) intervention in sensitized communities. Girls participating in AR receive family life education in seclusion, followed by a public graduation ceremony recognizing them as adults. They are not cut as part of the ceremony. In 2000, the Population Council carried out an assessment of the AR program that sought to identify the impact of MYWO’s activities on knowledge and attitudes regarding FGC, reproductive health, and gender equity. Data were collected through focus group discussions, interviews, household surveys, and case studies of AR-participating families. As this brief states, where cultural support for female circumcision is weakening, communities are more likely to accept sensitization messages encouraging abandonment of the practice and to participate in an alternative coming-of-age ceremony for girls. However, such alternative ceremonies must be preceded by extensive sensitization that changes attitudes and must be tailored to fit cultural norms for rite of passage.

Sleep Among Older Adults

2019 ◽  
pp. 139-166
Author(s):  
Katie L. Stone, PhD ◽  
Vicki Li
Keyword(s):  
Older Adults ◽  
Life Transitions ◽  
Age Group ◽  
Sex And Gender ◽  
And Gender ◽  
Social Environmental ◽  
Social Environmental Factors ◽  
The Impact ◽  
Sex And Gender Differences ◽  
The U.S

As Americans live longer, growth in the number of older adults is unprecedented. In 2014, 14.5% (46.3 million) of the U.S. population was aged 65 or older, and this is projected to reach 23.5% (98 million) by 2060. This chapter focuses on sleep among older adults, defined as at least 65 years old, and includes a discussion on sleep and retirement. The chapter especially discusses variation of sleep and sleep disorders in this age group and associations with frailty and disease and provides a social determinants perspective. Social/environmental factors that impact sleep in older adults include the impact of retirement, caregiving, institutionalization, and other key life transitions. Important sex and gender differences among older adults are also discussed.

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