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Published on: January 24, 2020
Indigenous 2SLGBTQIA+ Identities and Age-Related Cognitive Decline: A Scoping Review.
Keith D King1, Skye Wilson2, Letebrhan Ferrow3
1Faculty of Nursing, University of Alberta, Edmonton, AB T6G 1C9, Canada.
Summary
Published literature on Two-Spirit (2S) and Lesbian, Gay, Bisexual, Trans, Queer, Intersex, Asexual and other identities (LGBTQIA+) Indigenous peoples and age-related cognitive decline (ARCD) is minimal. More research is urgently needed to understand the needs of Indigenous 2SLGBTQIA+ individuals experiencing dementia.
Area of Science:
- Indigenous Health
- Gerontology
- Cognitive Decline
Background:
- Two-Spirit (2S) and Lesbian, Gay, Bisexual, Trans, Queer, Intersex, Asexual and other identities (LGBTQIA+) Indigenous communities are historically underrepresented in healthcare research.
- Age-related cognitive decline (ARCD) disproportionately affects aging populations, yet research specific to Indigenous 2SLGBTQIA+ individuals is lacking.
Purpose of the Study:
- To conduct a scoping review of published and gray literature on the experiences of First Nations, Métis, and Inuit 2SLGBTQIA+ people concerning aging and dementia.
- To identify the scope, breadth, and depth of existing research on Indigenous 2SLGBTQIA+ populations and ARCD.
Main Methods:
- An Indigenous-informed methodology was employed, guided by a committee of Two-Spirit knowledge-keepers, community advocates, and scholars.
- A five-step scoping review process was adapted, incorporating Indigenous knowledge through community consultation.
- An initial search yielded 1320 articles, with seven (six journal articles and one book chapter) meeting the inclusion criteria after screening.
Main Results:
- The review identified a significant scarcity of published literature focusing on the intersection of 2SLGBTQIA+ identities and ARCD in Indigenous populations.
- Included studies were primarily qualitative, with research originating from Canada, the USA, and Australasia.
- Identified gaps include a lack of epidemiological research, standardized assessment tools, and intervention studies tailored to this demographic.
Conclusions:
- There is a critical need for increased research investment to address the knowledge gaps concerning Indigenous 2SLGBTQIA+ individuals experiencing dementia.
- Future research should focus on understanding the unique needs, experiences, and health outcomes of this underrepresented population.
- Developing culturally safe and inclusive research practices is essential to effectively support Indigenous 2SLGBTQIA+ people with ARCD.
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