SynthesisThe Gerontologist2025
The Perspectives and Experiences of Older LGBTI+ Adults About Long-Term Care: A Qualitative Systematic Review and Meta-Synthesis.
Synthesis in The Gerontologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed.
- Access to Supportive Care Among Australian Cancer Carers: Experiences of Priority Populations.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Web-Based, Open-Source LGBTQ+ Affirming Care Education for Primary Health Care Providers: Descriptive Analysis.Journal of medical Internet research · 2026Article
- LGBTIQA+ Inclusion in Aged Care: Perspectives From Providers and Community Stakeholders.Australasian journal on ageing · 2026Article
- Evidence on the preparedness and practice needs of the home care workforce to support older LGBTQ+ people: a rapid review protocol.BMJ open · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
BACKGROUND AND
objectivesLGBTI+ older adults have experienced historical and systemic discrimination. Such discrimination has led to health inequities and avoidance of services. As LGBTI+ people age, they may need to access services, but information about this experience is situated in small-scale qualitative studies. As such this meta-synthesis aimed to bring together the perspectives and experiences of LGBTI+ older adults in literature about engagement with long-term care services. RESEARCH DESIGN AND
methodsA meta-synthesis with a meta-ethnographic approach was conducted with qualitative published and gray literature. Findings were then confirmed through community consultation conducted with LGBTI+ adults aged 50.
resultsA total of 55 qualitative studies were included in the meta-synthesis. LGBTI+ older adults' perspectives and experiences were synthesized into 4 key themes: (1) We see it as being heterosexualized, (2) With no one there to guard us, (3) You have to hide 90% of yourself, and (4) I don't want a different service, I want a good service. DISCUSSION AND IMPLICATIONS: Overarching heterosexism, experiences of discrimination, and complexities in maintaining identity all contributed to a predominately negative experience for LGBTI+ adults when engaging with long-term care. These experiences were found to align with "minority stress" theory. Our review found that a multilevel approach that included staff education, LGBTI+ affirmative care, and signs and symbols of inclusivity was required to reduce the impact of minority stress experienced by LGBTI+ older adults and to increase their engagement in long-term care services.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.