Are Services Inclusive? A Review of the Experiences of Older GSD Women in Accessing Health, Social and Aged Care Services

Tinashe Dune, Jacqueline Ullman, Tania Ferfolja, Jack Thepsourinthone, Shirali Garga and Zelalem Mengesha
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Tinashe Dune: Translational Health Research Institute, School of Medicine, Western Sydney University, Penrith 2751, NSW, Australia
Jacqueline Ullman: Centre for Educational Research, School of Education, Western Sydney University, Penrith 2751, NSW, Australia
Tania Ferfolja: Centre for Educational Research, School of Education, Western Sydney University, Penrith 2751, NSW, Australia
Jack Thepsourinthone: School of Science and Health, Western Sydney University, Penrith 2751, NSW, Australia
Shirali Garga: Translational Health Research Institute, School of Medicine, Western Sydney University, Penrith 2751, NSW, Australia
Zelalem Mengesha: Translational Health Research Institute, School of Medicine, Western Sydney University, Penrith 2751, NSW, Australia

IJERPH, 2020, vol. 17, issue 11, 1-17

Abstract: The review aimed to examine the views and experiences of ageing gender and sexually diverse (GSD) women—a triple minority in relation to their age, gender and sexual orientation—in accessing health, social and aged care services. Eighteen peer reviewed articles identified from seven electronic databases in health and social sciences were evaluated according to predefined criteria and a thematic review methodology drawing upon socio-ecological theory was used to analyse and interpret the findings. Four major themes were identified from the analysis: “The Dilemma of Disclosure”, “Belonging/Connection”, “Inclusiveness of Aged Care” and “Other Barriers to Access Care”. In the dilemma of disclosure, older GSD women consider factors such as previous experiences, relationship with the provider and anticipated duration of stay with the provider before disclosing their sexual identifies. The review also revealed that aged care services lack inclusiveness in their policies, advertising materials, aged care spaces and provider knowledge and attitude to provide sensitive and appropriate care to GSD women. Overall, older GSD women experience multiple and multilevel challenges when accessing health, aged and social services and interventions are needed at all levels of the socio-ecological arena to improve their access and quality of care.

Keywords: LGBTIQ; gender and sexually diverse; women; health care; aged care; social care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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