Nurses’ Health Education About Lgbt Elders (Heale) Cultural Competency Curriculum
There is a critical shortage of gerentological nurses who specialize in LGBT aging issues. Accredited schools of nursing have no requirement to explore LGBT health disparities.
Barriers to Care:
Avoidance of Routine Health Care
One of the most common medical risks for LGBT persons is the avoidance of routine health care due to heterosexism in the healthcare system.
Fear of Facing Insensitivity & Discrimination
Fear of facing insensitivity and discrimination can reinforce social isolation and lead to avoidance of
needed healthcare and social services.
Delayed Retirement for Financial Reasons
For some older LGBT adults, workplace discrimination over the life cycle has
led to delayed retirement for financial reasons (SAGE, 2010, p. 11).
Living Below the Federal Poverty Level
An estimated 35% of older LGBT adults live below the federal poverty level, compared to 10% of the general population (Cook-Daniels, 2009).
Personal barriers include a fear of discrimination, internalized homophobia, and a non-disclosure of orientation/behavior.