A Systematic Literature Review of the Impact of Covid-19 on the Health of LGBTQIA+ Older Adults

Identification of Risk and Protective Health Factors and Development of a Model of Health and Disease

Bibliographic Data

ID11623670
AuthorsAlexander Moreno (0000-0003-3651-3222, Université de Montréal, corresponding author), Salima Belhouari (Université de Montréal), Alexane Dussault (Université de Montréal)
Year2023
Volume71
Issue5
Pages1297-1331
Publication date2023-02-28
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Homosexuality (JOURNAL)
Journal identifiersISSN: 0091-8369 • E-ISSN: 1540-3602
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/00918369.2023.2169851
PMID36853995
OpenAlexW4322624431
LanguageEN
Citations received2
References cited59

It is important to understand the differential impact of COVID-19 on the health of older lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual, and people with other sexual orientations and forms of gender expression (LGBTQIA+). The objective of this study is to systematically review the impact of COVID-19 on LGBTQIA+ older adults' health including risk and protective factors. We reviewed a total of 167 records including LGBTQIA+ older adults published since 2019. Two independent reviewers screened titles and abstracts and extracted information of 21 full-text records meeting inclusion criteria using COVIDENCE software. The results show that the negative health consequences are exacerbated by personal risk (e.g., perceived homo/transphobia and ageism in LGBTQIA+ communities) and environmental factors (e.g., heterosexism within health services). The negative impact seems to be reduced by personal protective (e.g., resilience, spirituality, and hobbies) and environmental factors (e.g., technology use to increase social participation and social rituals). In conclusion, the health of LGBTQIA+ older adults has been disproportionately affected during the pandemic associated to the latest coronavirus (COVID-19). The experiences of LGBTQIA+ older adults during the pandemic are integrated in a Model of Health and Disease for LGBTQIA+ older adults. Specific strategies to promote health and well-being in this community are provided

2019-20 coronavirus outbreak · Coronavirus disease 2019 (COVID-19 · Disease · Environmental health · Identification (biology · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Virology