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dc.contributor.authorToze, Michael
dc.contributor.authorFish, Julie
dc.contributor.authorHafford-Letchfield, Trish
dc.contributor.authorAlmack, Kathryn
dc.date.accessioned2020-10-20T09:16:17Z
dc.date.available2020-10-20T09:16:17Z
dc.date.issued2020-10-19
dc.identifier.citationToze, M. Fish, J. Hafford-Letchfield, T. and Almack, K. (2020) Applying a Capabilities Approach to Understanding Older LGBT People’s Disclosures of Identity in Community Primary Care, International Journal of Environmental Research and Public Health, 17 (20), 7614en
dc.identifier.urihttps://dora.dmu.ac.uk/handle/2086/20292
dc.descriptionData from PhD research University of Lincoln open access articleen
dc.description.abstractInternationally, there is increasing recognition that lesbian, gay, bisexual and trans (LGBT) populations experience substantial public health inequalities and require interventions to address these inequalities, yet data on this population is often not routinely collected. This paper considers the case study of the UK, where there are proposals to improve government and health data collection on LGBT populations, but also a degree of apparent uncertainty over the purpose and relevance of information about LGBT status in healthcare. This paper applies a health capabilities framework, arguing that the value of health information about LGBT status should be assessed according to whether it improves LGBT people’s capability to achieve good health. We draw upon 36 older LGBT people’s qualitative accounts of disclosing LGBT status within UK general practice healthcare. Participants’ accounts of the benefits and risks of disclosure could be mapped against multiple domains of capability, including those that closely align with biomedical accounts (e.g., longevity and physical health), but also more holistic considerations (e.g., emotion and a liation). However, across all domains, individuals tend to assess capabilities at an individual level, with relatively little reference to population-level impact of disclosure. Clearer articulation of the benefits of disclosure and data collection for the collective capabilities of LGBT populations may be a beneficial strategy for improving the quality of information on LGBT populations.en
dc.language.isoenen
dc.publisherMDPIen
dc.subjectsexuality;en
dc.subjectgender identity;en
dc.subjectprimary care;en
dc.subjecthealth capabilitiesen
dc.titleApplying a Capabilities Approach to Understanding Older LGBT People’s Disclosures of Identity in Community Primary Careen
dc.typeArticleen
dc.identifier.doihttps://doi.org/10.3390/ijerph17207614
dc.peerreviewedYesen
dc.funderNo external funderen
dc.cclicenceCC BYen
dc.date.acceptance2020-10-19
dc.researchinstituteInstitute of Health, Health Policy and Social Careen


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