Overcoming barriers for older gay men in the use of health services: A qualitative study of growing older, sexuality and health

Abstract

Objective The aim of the study was to explore the experiences of older gay men in relation to health, what gaps existed in health and social care services, and how primary care services could better meet the needs or concerns of older gay men. Design A qualitative study, based on semi-structured interviews. Setting Interviews were carried out in Greater London, in the respondents’ own homes. Methods A variety of recruitment methods were used to identify ten gay men aged between 60 and 70. These men were interviewed using a semi-structured interview schedule. Each participant was given a pseudonym. Results Analysis of the interviews revealed that older gay men may view health services with caution, having experiences of, or expectations of, discrimination or poorer quality care or treatment. Older gay men may not disclose their sexuality to health providers and may find some needs unmet, particularly around areas of partner and other social relationships. Conclusions Policy makers and practitioners need to address the current silence around ageing and sexualities in health services policy. Services need to consider whether they are best responding to the needs of older gay men in their communities, ensure cultural competence, and make efforts to demonstrate that they are seen as open to or accepting of gay men, and to recognise the particular needs that older gay men may experience.