随着许多国家的人口老龄化，全球范围内的女同性恋，男同性恋，双性恋，变性者，酷儿和跨性别者（LGBTQI +）年纪越来越大。大多数LGBTQI +人希望随着年龄的增长而留在自己的家中，因此了解自己的经历和对接受家庭护理的看法非常重要。这项系统的审查旨在研究老年人（60岁以上）LGBTQI +人们在社区中使用正式家庭护理服务的看法和经验。
搜索了以下六个电子数据库：MEDLINE; PsycINFO; Social Policy and Practice;CINAHL；SSCI；和ASSIA（从建库到2020年3月第一周）。还对纳入研究和相关综述的参考文献进行了手工搜索。仅纳入以英文发表的同行评审研究。研究设计没有任何限制。调查结果使用叙述性合成进行了分析。PROSPERO协议注册标识号：CRD42020168443。
169名参与者的7项研究被纳入综合。所有研究都是定性的。大多数参与者是女同性恋或男同性恋，没有研究调查变性者，同性恋者，双性恋者或其他性少数群体的家庭护理。人们普遍害怕由于恐同的威胁和过去的歧视经历而难以获得家庭护理服务。一些人在家里隐藏了所有LGBTQI +材料，以试图向家庭护理人员隐瞒性行为。尽管担心受到歧视，但女同性恋者和男同性恋者报告说，他们希望并期望与异性恋者一样的照料，尊严和尊重。对家庭护理人员进行强制性LGBTQI +敏感性培训，可以减少恐同症并增加服务提供者的包容性。
年长的女同性恋者和男同性恋者害怕或遭受家庭护理工作者的歧视，有些人选择隐藏自己的性行为，从而造成压力和焦虑。家庭护理服务提供商应考虑对年龄较大的LGBTQI +人群进行敏感性培训，以减少某些家庭护理人员中可能存在的同性恋恐惧感。由于研究的匮乏并且他们只关注老年男女同性恋者，因此需要更多的研究来探索其他以LGBTQI +总称代表的，接受家庭护理服务的性少数群体的经历。
Numbers of older lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI+) people are increasing worldwide in line with the ageing populations of many countries. Most LGBTQI+ people want to remain in their own homes as they age, making it important to understand their experiences and perceptions of receiving home care. This systematic review aimed to examine older (over 60 years) LGBTQI+ people's perceptions and experiences of using formal home care services in the community.
:=The following six electronic databases were searched from the date of the first records until the first week of March 2020: MEDLINE; PsycINFO; Social Policy and Practice; CINAHL; SSCI; and ASSIA. Hand searches of the reference lists of the included studies and relevant reviews were also conducted. Only peer reviewed research published in English was included. There were no restrictions on study design. Finding were analysed using narrative synthesis. PROSPERO protocol registration identification number: CRD42020168443.
Seven studies involving 169 participants were included in the synthesis. All were qualitative. Most participants were either lesbian women or gay men, with no studies investigation home care for transgender, queer, intersex or other sexual minorities. Fear of accessing home care services due to the perceived threat of homophobia and past negative experiences of discrimination were common. Some concealed any LGBTQI+ materials in their homes to try and hide their sexuality from home care workers. Despite fear of discrimination, lesbian women and gay men reported wanting and expecting the same level of care, dignity and respect as their heterosexual counterparts. Mandatory LGBTQI+ sensitivity training for home care workers was identified for reducing homophobia and increasing the inclusivity of service providers.
Older lesbian women and gay men fear or experience discrimination from home care workers, with some choosing to hide their sexuality causing stress and anxiety. Sensitivity training in the needs of older LGBTQI+ people should be considered by home care service providers as a way of reducing homophobic attitudes which may exist among some home care workers. Due to the paucity of studies and their focus on older lesbian women and gay men, more research is needed to explore the experiences of other sexual minorities receiving home care services who are represented by the LGBTQI+ umbrella term.
Sexual and Gender Minorities
Home Care Services