【文献】中年期・老年期のゲイ・レズビアンにみられる意思決定と長期的人生設計（英語のみ） ― 2008年08月30日 18:53
J Soc Work End Life Palliat Care. 2007;3(2):59-77. Long-term planning and decision-making among midlife and older gay men and lesbians. Hash KM, Netting FE.
This article examines the issues of long-term planning and decision-making among midlife and older gay men and lesbian caregivers. Using a qualitative methodology, in-depth interviews were conducted with 19 gay men and lesbians over 50. Participants reported on their long-term planning and decision-making processes. All but four persons reported that their partners had advance directives, but the majority of caregivers did not have advance directives for themselves. Concerns about informal family dynamics and interactions with formal systems were expressed, along with financial and ownership issues. It is important for social workers to intervene across individual, organizational, and community levels in advocacy for the needs of older gay men and lesbian clients.
PMID: 18069623 [PubMed - indexed for MEDLINE]
【文献】沈黙した声と見えない壁：レズビアン・ゲイの終末期ケアを考える（英語のみ） ― 2008年08月30日 18:35
J Psychosoc Oncol. 2006;24(1):51-64. Silent voices and invisible walls: exploring end of life care with lesbians and gay men. Smolinski KM, Colón Y.
The needs and desires of lesbians and gay men with cancer at the end of their lives are not fundamentally different from any other dying individual's needs. There are, however, significant legal restrictions and societal attitudes that can negatively affect the dying experiences of lesbians and gay men. Lesbians and gay men face many challenges at the end of their lives, including issues of disclosure in the healthcare setting, discrimination, misconceptions, legal and financial barriers and the disenfranchised grief of surviving same-sex partners. Oncology social workers can play a prominent role in advocating for these individuals to allow for dignity and support in spite of these barriers and provide effective interventions to help in assisting lesbians and gaymen with healthcare decision-making and end-of-life care planning.
PMID: 16803752 [PubMed - indexed for MEDLINE]
【文献】終末期ケアおよび延命治療に対するゲイ・レズビアンの態度（英語のみ） ― 2008年08月30日 18:27
J Palliat Med. 2001 Summer;4(2):173-90. Attitudes on end-of-life care and advance care planning in the lesbian and gay community. Stein GL, Bonuck KA.
Gay men and lesbians have special interests in documenting their preferences regarding advance care planning and end-of-life care. A 64-item survey instrument was developed to ascertain the preferences of this community regarding approaches to end-of-life care, viewpoints on physician-assisted suicide (PAS) and euthanasia, and practices regarding advance care planning. The survey was completed by 575 participants recruited through community-based health care and social service organizations serving the lesbian and gay community, primarily in the New York metropolitan area. Respondents represent a diverse group of women (36%) and men (63%) from various age, racial/ethnic, and religious/spiritual backgrounds; 10% were human immunodeficiency virus (HIV)-positive. Respondents' perspectives on end-of-life care are generally consistent with findings from other attitudinal studies of U.S. adults: a majority supported legalization of PAS and preferred a palliative approach to end-of-life care. However, the gay community sample revealed even stronger support for assisted suicide and palliative care. Although respondents completed advance directives at a higher rate than adults generally, the legal importance for gay men and lesbians to execute directives should encourage health care providers and community organizations to assume a larger educational role on advance care planning. Results confirm other reports on the need to address provider communication skills. It is speculated that the HIV epidemic was a major influence behind these results because of the overwhelming personal impact of the epidemic on most gay men and lesbians during the past two decades.
PMID: 11441626 [PubMed - indexed for MEDLINE]