【文献】医療・福祉サービスを受ける際のカミングアウト（英語のみ） ― 2008年08月30日 19:32
J Health Soc Policy. 2002;15(1):1-29. The impact of coming out on health and health care access: the experiences of gay, lesbian, bisexual and two-spirit people. Brotman S, Ryan B, Jalbert Y, Rowe B.
This paper documents the experiences of health care access among gay, lesbian, bisexual and Two-Spirit (glbt-s) people in Canada. In particular, it addresses the importance of coming out as glbt-s to the development of good health and appropriate care. The paper reflects upon the impact of hiding one's sexual orientation on glbt-s people's experience of and use of health care resources and the responsibility of health care institutions to address homophobia and create supportive environments in order to facilitate the coming out process in health care settings. The central role of health care policy makers with regard to the articulation of gay-positive policy and practice in health care institutions is highlighted.
PMID: 12212930 [PubMed - indexed for MEDLINE]
【文献】トレーニング中のゲイ・レズビアン医師の抱える問題：質的調査（英語のみ） ― 2008年08月30日 19:22
Gay and lesbian physicians in training; a qualitative study.
Risdon C, Cook D, Willms D.
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BACKGROUND; Gay and lesbian physicians in training face considerable challenges as they become professionalized. Qualitative research is necessary to understand the social and cultural factors that influence their medical training. In this study we explored the significance of gay or lesbian identity on the experiences of medical training using naturalistic methods of inquiry.
METHODS; Semi-structured interviews, focus groups and an e-mail listserv were used to explore professional and personal issues of importance to 29 gay and lesbian medical students and residents in 4 Canadian cities. Data, time, method and investigator triangulation were used to identify and corroborate emerging themes. The domains explored included career choice, "coming out," becoming a doctor, the environment and career implications.
RESULTS; Gay or lesbian medical students and residents experienced significant challenges. For all participants, sexual orientation had an effect on their decisions to enter and remain in medicine. Once in training, the safety of a variety of learning environments was of paramount importance, and it affected subsequent decisions about identity disclosure, residency and career path. Respondents' assessment of professional and personal risk was influenced by the presence of identifiable supports, curricula inclusive of gay and lesbian sexuality and health issues and effective policies censuring discrimination based on sexual orientation. The need for training programs to be proactive in acknowledging and supporting diversity was identified.
INTERPRETATION; Considerable energy and emotion are spent by gay and lesbian medical students and residents navigating training programs, which may be, at best, indifferent and, at worst, hostile.
PMID; 10693588 1; [PubMed - indexed for MEDLINE]
PMCID; PMC1231011
【文献】Coming out to care: caregivers of gay and lesbian seniors in Canada（英語のみ） ― 2008年08月30日 19:17
Gerontologist. 2007 Aug;47(4):490-503. Coming out to care: caregivers of gay and lesbian seniors in Canada. Brotman S, Ryan B, Collins S, Chamberland L, Cormier R, Julien D, Meyer E, Peterkin A, Richard B.
PURPOSE: This article reports on the findings of a study whose purpose was to explore the experiences of caregivers of gay and lesbian seniors living in the community and to identify issues that emerged from an exploration of access to and equity in health care services for these populations. DESIGN AND METHODS: The study used a qualitative methodology based upon principles of grounded theory in which open-ended interviews were undertaken with 17 caregivers living in three different cities across Canada. RESULTS: Findings indicated several critical themes, including the impact of felt and anticipated discrimination, complex processes of coming out, the role of caregivers, self-identification as a caregiver, and support. IMPLICATIONS: We consider several recommendations for change in light of emerging themes, including expanding the definition of caregivers to be more inclusive of gay and lesbian realities, developing specialized services, and advocating to eliminate discrimination faced by these populations.
PMID: 17766670 [PubMed - indexed for MEDLINE]
【文献】カナダにおける老年期ゲイ・レズビアンの健康に関するニーズ、ソーシャルサービスへのニーズ（英語のみ） ― 2008年08月30日 19:12
Gerontologist. 2003 Apr;43(2):192-202. The health and social service needs of gay and lesbian elders and their families in Canada. Brotman S, Ryan B, Cormier R.
PURPOSE: This article reports the findings of a study, undertaken in 2000, whose purpose was to gather information about the experiences and realities of gay and lesbian seniors and their families from across Canada in accessing a broad range of health and social services in the community, and to examine the role of health care and social service organizations in shaping access and service delivery. DESIGN AND METHODS: This study used a qualitative exploratory design based on focus group interviews. Perspectives of older gay men and lesbians and their families involved in organizations addressing these issues, as well as professionals from both gay and lesbian health organizations and mainstream elder care organizations were sought. RESULTS: Specific reference was made to the impact of discrimination on the health and access to health services of these populations. Issues relating to invisibility, historic and current barriers to care, and the nature of service options are identified. IMPLICATIONS: Recommendations for change are highlighted, including those related to best practice programs and policies in the long-term care sector.
PMID: 12677076 [PubMed - indexed for MEDLINE]
【文献】老年期のレズビアン・ゲイが直面する諸問題：医療・保健・福祉分野の援助者につきつけられた課題（英語のみ） ― 2008年08月30日 19:06
J Health Hum Serv Adm. 2000 Fall;23(2):181-202. Issues confronting lesbian and gay elders: the challenge for health and human services providers. Claes JA, Moore W.
During the past two decades, the number of people over the age of 65 in the United States has been increasing twice as fast as the rest of the population. Within this diverse group, gerontologists are increasingly aware that there also exists a large population of older lesbian, gay men, and bisexuals. Health professionals must learn to acknowledge and meet the needs of this population. This article assists in addressing the knowledge gap by acquainting the reader with the aging concerns of lesbian and gay men; the impact of homophobia on their health; common heterosexual practices and their impact on care; retirement and leisure issues; the hidden incidence of abuse and neglect; and some suggested strategies that will assist health and human services workers in providing quality care for lesbians and gays as they age.
PMID: 11481996 [PubMed - indexed for MEDLINE]
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