Abstract
This Open Letter discusses the theme of 'diversity in brain health' in research, practice and policy for older LGBT+ people. It is written by a multidisciplinary group of Atlantic Fellows for Equity in Brain Health at the Global Brain Health Institute in Trinity College Dublin (TCD), from a variety of disciplines (health economics, human geography, anthropology, psychology, gerontology) and professions (researcher, clinicians, writers, practicing artists). The groupdeveloped a workshop to explore the theme of 'Diversity and Brain Health' through the lens of lesbian, gay, bisexual, transgender/transsexual plus (LGBT+). . Guided by two advisors (Prof Agnes Higgins, TCD; Mr Ciaran McKinney, Age and Opportunity), we invited older LGBT+ people and those interested in the topic of LGBT+ and ageing, healthcare providers, policy makers and interested members of the research community. We partnered with colleagues in the School of Law to include socio-legal perspectives. Following the workshop, Roe and Walrath wrote an opinion editorial, published in the Irish Times during the 2019 PRIDE festival, and were subsequently invited by HRB Open Research to provide a more detailed expansion of that work. In this Open Letter we describe the theme of 'diversity and brain health' and some of the lessons we learned from listening to the lived experience of older LGBT+ people in Ireland today. We illustrate why it's important to understand the lived experience of older LGBT+ people and highlight the failure of the State to evaluate the experience of LGBT+ people in policy implementation. We call on researchers, clinicians, service planners and policy makers, to recognize and address diversity as an important way to address health inequities in Ireland.
Highlights
Brain health is described as the ability to remember, learn, plan, concentrate and maintain a clear, active mind by being able to draw on the strengths of your brain such as information management, logic, judgement, perspective and wisdom[1]
We reviewed some of the language used to describe LGBT+ people in keeping with international norms (e.g. ‘trans-woman’ was changed in the text to ‘transgender woman’)
Diversity and brain health Differential exposure to social, economic, and environmental risks factors between individuals lead to health inequities, which are defined as differences in health which are systematic, socially produced, and unfair[5]
Summary
Gloria Gutman , Simon Fraser University, Vancouver, Canada. Clinicians, service planners and policy makers, to recognize and address diversity as an important way to address health inequities in Ireland. We reviewed some of the language used to describe LGBT+ people in keeping with international norms We included some literature referencing the fact that globally not all LGBT+ people are currently safe. We improved the link between the lessons we learned from LGBT+ people, and the theme of brain health and diversity in our concluding paragraphs. Any further responses from the reviewers can be found at the end of the article Disclaimer The views expressed in this article are those of the author(s). Publication in HRB Open Research does not imply endorsement by the Health Research Board of Ireland
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