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Updated: Jun 30, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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影响女同性恋,同性恋,双性恋,跨性别者和酷尔老年人的联邦和州政策问题
1The Fenway Institute, 1340 Boylston Street, Boston, MA 02215, USA.
Clinics in geriatric medicine
|March 23, 2024
概括
对LGBTQ+个人的歧视会对健康和获得护理的机会产生负面影响,增加贫困和减少保险覆盖. 虽然"负担得起的医疗法案"和改进的文化响应性护理有所帮助,但老年LGBTQ+人仍然需要平等地获得服务.
科学领域:
- 卫生公平性健康公平性
- 健康的社会决定因素
- 在LGBTQ+健康方面.
背景情况:
- 对女同性恋,男同性恋,双性恋,跨性别者和酷尔 (LGBTQ) +个人的歧视很普遍,对他们的健康状况产生不利影响,并为获得医疗保健创造障碍.
- 这种歧视与较高的贫困率有关,特别是在LGBTQ+有色人种中,以及较低的医疗保险覆盖率.
研究的目的:
- 检查歧视对LGBTQ+健康和医疗保健准入的影响.
- 评估"平价医疗法案" (ACA) 在改善LGBTQ+个人和艾滋病毒感染者的保险覆盖方面的作用.
- 确定医疗保健和需要改革的领域的系统性改进,以实现公平的老年护理.
主要方法:
- 分析LGBTQ+人口面临的健康差异和进入障碍.
- 审查"平价医疗法案"对保险费率的影响.
- 评估文化响应医疗保健的进展情况,并收集有关性取向和性别认同的数据.
主要成果:
- "负担得起的医疗保健法案"减少了LGBT个人和艾滋病毒感染者的无保险率.
- 文化响应性医疗保健和使用性取向和性别认同数据的改善已被观察到.
- 尽管取得了进展,但仍存在显著的差异,特别是在进入老年护理系统的老年LGBTQ+个人中.
结论:
- 解决反LGBTQ+歧视问题对于改善健康和确保平等获得护理至关重要.
- 持续的系统性改革是必要的,以确保老年服务系统是包容性的,并可访问的老年LGBTQ+个人.
- 关于性取向和性别认同的数据收集对于监测和改善LGBTQ+社区的护理质量至关重要.
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