scholarly journals THE IMPACT OF DISCRIMINATORY POLICIES AND PRACTICES ACROSS THE AGING CONTINUUM

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S437-S437
Author(s):  
Brian W Lindberg

Abstract Aging crosses all domestic and international borders. It’s an issue that affects everyone regardless of religion, race, nationality, ethnicity, sexual orientation, or gender identity. The main purpose of The Gerontological Society of America (GSA) is “to advance the scientific and scholarly study of aging and to promote human welfare by the encouragement of gerontology in all its areas.” Yet in 2019, policies remain in effect that impact individuals in a discriminatory manner. The program will highlight research in several areas that demonstrate the effects of these discriminatory practices.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S437-S437
Author(s):  
Patricia M D’Antonio

Abstract Discussant: John Feather Aging crosses all domestic and international borders and affects everyone regardless of religion, race, nationality, ethnicity, sexual orientation, or gender identity. The main purpose of The Gerontological Society of America is “to advance the scientific and scholarly study of aging and to promote human welfare by the encouragement of gerontology in all its areas.” Yet in 2019, policies remain in effect that impact individuals in a discriminatory manner. The program will highlight research in several areas that demonstrate the effects of these discriminatory practices.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S437-S437
Author(s):  
Patricia M D’Antonio

Abstract Aging crosses all domestic and international borders. It’s an issue that affects everyone regardless of religion, race, nationality, ethnicity, sexual orientation, or gender identity. The main purpose of The Gerontological Society of America (GSA) is “to advance the scientific and scholarly study of aging and to promote human welfare by the encouragement of gerontology in all its areas.” Yet in 2019, policies remain in effect that impact individuals in a discriminatory manner. The program will highlight research in several areas that demonstrate the effects of these discriminatory practices.


2021 ◽  
Vol 23 (3) ◽  
pp. 254-271
Author(s):  
Aile Trumm ◽  
Kristina Brenisin ◽  
Kieran Breen

Purpose The more disadvantaged members of society generally experience poorer outcomes following the development of mental ill-health. The purpose of this paper is to scope the literature and synthesise findings on the inequalities and mental health within secure mental health settings. Design/methodology/approach Six electronic databases were searched to identify relevant studies. These were included if they examined the association between inequalities and mental health in women’s secure mental health settings. Findings Of the 608 studies reviewed, 14 met the inclusion criteria. In these papers, violence and/or abuse were described as the most prevalent inequalities. The second most frequent group of inequalities identified were socio-economic. Only three published studies researched the impact of ethnicities. Physical health, alcohol abuse and a dysfunctional family upbringing were only mentioned in one of the studies. Gender identity, transitioning and sexual orientation was not considered in any papers. These are areas, which require further investigation to determine their specific impact in this setting. Research limitations/implications This review highlights the dearth of high-quality research-based evidence underpinning an understanding of the impact of inequalities on women in secure mental health settings. The existing studies suggest that inequalities have a very particular impact and that intersectionality plays a key role. Further research is required to further understand how inequalities impact the lives of women in secure mental health settings. Practical implications The inequalities that women experience in relation to mental health need to be further researched in the context of intersectionality. There are also research gaps in terms of gender identity, sexual orientation and socio-economic background. Further primary research using a more complex methodological paradigm is required to explore these factors and their impact on mental health service provision. Social implications The role of inequalities should be considered as part of an overall care package, including the experiences of adverse childhood experiences and this should contribute towards the development of a trauma-based care approach. Originality/value To the best of the authors’ knowledge, this is the first study to scope literature about inequalities experienced in women’s secure psychiatric settings considering intersectionality.


2019 ◽  
Vol 44 (1) ◽  
pp. 67-83 ◽  
Author(s):  
Alison Cerezo ◽  
Mariah Cummings ◽  
Meredith Holmes ◽  
Chelsey Williams

Although the concept of intersectionality has gained widespread attention in psychological research, there remains a significant gap related to the impact of intersectionality on identity formation for persons negotiating multiple minority statuses. This gap is especially pronounced among sexual and gender expansive women of Latinx and African American descent—two groups that face disparate personal and public health risks but are largely ignored in the research literature. In response to this gap, we carried out a qualitative study using constructivist grounded theory with 20 Latinx and African American sexual minority, gender expansive women to understand participants’ experiences of forming an intersectional social identity. Following an exploration of identity formation related to the specific domains of race, gender identity, and sexual orientation, we prompted participants to consider how each of the specified identity domains impacted the formation and experience of an overall intersectional identity (e.g., how racial position impacted gender identity and/or sexual identity formation). Findings revealed four major themes that were critical in identity formation: (a) family and cultural expectations, (b) freedom to explore identity, (c) the constant negotiation of insider/outsider status, and (d) identity integration as an act of resistance. Implications for future research and psychological services are discussed.


2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 128-128
Author(s):  
Georgina T. Rodgers ◽  
Christa Poole ◽  
MaryKay Moore ◽  
Mikayla Baer ◽  
Christina Ferraro ◽  
...  

128 Background: The LGBT community is a diverse population that crosses race, ethnicity, socioeconomic status, age, and other factors. It is estimated that 8.8 million Americans are part of the community and the number is likely higher due to under reporting. The population is at increased risk for certain cancers, sexually transmitted infections, and is more likely to use alcohol, tobacco, drugs, and suffer from obesity, and behavioral health issues. LGBT patients face barriers to accessing care due to being under-insured, fear of discrimination and lack of access to culturally competent health care providers. Our cancer center embraced the need to collect sexual orientation/gender identity (SOGI) data as a means to identify and address the comprehensive needs of our patients and set a goal to provide an inclusive, patient-centered environment through education of our teams to build a trusted patient-provider relationship. Methods: We implemented a history section in the EHR to assist with data collection including, preferred name, sexual orientation, gender identity, legal sex, and sex assigned at birth. A project team was developed in 2019 to improve utilization of the existing tool and provide education to increase the comfort level of our caregivers. Our target groups consist of advance practice providers, RN care coordinators, social workers and physicians. Educational sessions occurred through multiple modes and “champions” were identified within target groups to keep the momentum going. Results: There was initial hesitation in utilization due to lack of understanding of the impact on patient care and lack of confidence in communication. Training was modified to include communication techniques and the why collection of SOGI data is important. Conclusions: A monthly report was developed to determine utilization of the SOGI fields and as of May 2020 have increased from 1.5% utilization to 17.5% utilization. A survey has been deployed to education attendees to determine pre and post education comfort levels in addressing the SOGI needs of patients and early data is showing a marked improvement in the comfort level of caregivers.


2021 ◽  
Author(s):  
Robert Carels ◽  
Abigail MT Shonrock ◽  
J Caroline Miller ◽  
J. Rhonda Byrd ◽  
Marissa Carraway ◽  
...  

Abstract Purpose: The current study aims to examine weight stigma and sociocultural attitudes toward appearance among lesbian, gay, and bisexual (LGB) individuals and heterosexual men and women. Methods: The sample consisted of heterosexual and LGB men and women. Participants were drawn from introductory psychology classes and a variety of supplemental recruitment methods (Facebook, Instagram, Reddit, MTURK, etc.). Results: Individuals identifying as male and individuals identifying as heterosexual had significantly greater weight bias than individuals identifying as female and individuals identifying as LGB. Additional gender identity and sexual orientation mean group differences among sociocultural attitudes were observed. While there were modest associations between weight bias and overall sociocultural attitudes, gender identity and sexual orientation had little impact on the strength of these associations. Conclusion: This investigation contributes to knowledge of the impact of gender identity and sexual orientation on weight stigma and sociocultural attitudes toward appearance.Level of EvidenceIII: Evidence obtained from cohort or case–control analytic studies.


2020 ◽  
Vol 26 (5) ◽  
pp. 535-542 ◽  
Author(s):  
Anat Segev-Becker ◽  
Roi Jacobson ◽  
Ronnie Stein ◽  
Ori Eyal ◽  
Asaf Oren ◽  
...  

Objective: Females with the severe classic forms of congenital adrenal hyperplasia reportedly have a higher frequency of atypical gender identity, nonheterosexual sexual relationships, and cross-gender role behavior. Comparable data and quality-of-life measures among those with the milder, more prevalent form, nonclassic congenital adrenal hyperplasia, are scarce. We aimed to assess health-related quality of life, gender identity, role, and sexual orientation in women with nonclassic congenital adrenal hyperplasia via a prospective, questionnaire-based, case-control study. Methods: Thirty-eight women with nonclassic congenital adrenal hyperplasia (median age 34 years; range, 18 to 44 years) and 62 age-matched female controls were recruited. Outcome measures included the Multi-Gender Identity, Sexuality, and World Health Organization (WHO) quality-of-life questionnaires. Results: Sociodemographic parameters (marital status, number of children, and educational level) were similar for both groups, as were most measures of the Multi-Gender Identity, Sexuality, and WHO quality-of-life questionnaires. However, “sometimes-feeling-as-a-man and sometimes-feeling-as-a-woman” were more frequently reported in the study group compared to the controls (7/38 [18.4%] vs. 3/62 [4.8%], respectively; P = .02). Furthermore, more nonclassic congenital adrenal hyperplasia women reported first falling in love with a woman (4/37 [10.8%] vs. 0/58 [0%]; P = .02). Conclusion: Our findings suggest possible subtle differences in gender identity and sexual orientation between adult nonclassic congenital adrenal hyperplasia females and controls. Quality of life was not impaired in individuals within the study group. The impact of exposure to mildly elevated androgen levels during childhood and adolescence on the female brain warrants more in-depth assessment in further studies. Abbreviations: CAH = congenital adrenal hyperplasia; Multi-GIQ = Multi-Gender Identity Questionnaire; NCCAH = nonclassic congenital adrenal hyperplasia; QoL = quality of life


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e050092
Author(s):  
Victoria J McGowan ◽  
Hayley J Lowther ◽  
Catherine Meads

ObjectiveTo systematically review all published and unpublished evidence on the impact of the COVID-19 pandemic on the health and well-being of UK sexual and gender minority (LGBT+; lesbian, gay, bisexual, transgender, non-binary, intersex and queer) people.MethodsAny relevant studies with or without comparator were included, with outcomes of: COVID-19 incidence, hospitalisation rates, illness severity, death rates, other health and well-being. Six databases (platforms) were searched—CINAHL Plus (Ovid), Cochrane Central (Cochrane Library), Medline (Ovid), Embase (Ovid), Science Citation Index (Web of Science) and Scopus between 2019 and 2020 in December 2020, using synonyms for sexual and gender minorities and COVID-19 search terms. Data extraction and quality assessment (using the relevant Joanna Briggs checklist) were in duplicate with differences resolved through discussion. Results were tabulated and synthesis was through narrative description.ResultsNo published research was found on any outcomes. Eleven grey literature reports found to be of low quality were included, mostly conducted by small LGBT+ charities. Only four had heterosexual/cisgender comparators. Mental health and well-being, health behaviours, safety, social connectedness and access to routine healthcare all showed poorer or worse outcomes than comparators.ConclusionsLack of research gives significant concern, given pre-existing health inequities. Social and structural factors may have contributed to poorer outcomes (mental health, well-being and access to healthcare). Paucity of evidence is driven by lack of routinely collected sexual orientation and gender identity data, possibly resulting from institutional homophobia/transphobia which needs to be addressed. Men are more at risk of serious illness from COVID-19 than women, so using data from trans women and men might have started to answer questions around whether higher rates were due to sex hormone or chromosomal effects. Routine data collection on sexual orientation and gender identity is required to examine the extent to which COVID-19 is widening pre-existing health inequalities.PROSPERO registration numberCRD42020224304.


2021 ◽  
pp. 65-75
Author(s):  
Rafaela Hilário Pascoal

Considering the increase of migrants and the development of a new type of reception system, oriented towards providing standardised, homogeneous assistance, this article questions the effects that the prevalence of "prima accoglienza" reception systems have on the identification and assistance of SOGI (sexual orientation and gender identity) migrants. Their approach, based on the supply of basic needs, tends to ignore the particular needs of SOGI migrants, as well as overlook the high risk of violence within the reception centres. Therefore, this article aims at evaluating the impact of this approach on the vulnerability of SOGI migrants.


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