2020-08-012024-05-13https://scholars.lib.ntu.edu.tw/handle/123456789/653479摘要：健康照護差距(Healthcare disparities)常見於LGBT群體(Lesbian女同志、Gay男同志、Bisexual 雙性戀者、Transgender 跨性別者)。國外研究發現因各群體特性的差異，LGBT各群體有其特殊健康議題、健康行為及健康需求，其社會支持系統更影響群體接受健康或社會資源相關服務之意願與行為。再者，因全球人口快速老化，LGBT群體健康老化議題更是近年來不斷被專家學者提出與討論，除了老年LGBT群體健康議題、健康行為及健康需求外，正式與非正式社會資源的可運用性也被重視與討論。然而，台灣目前針對LGBT群體健康相關研究：1.較著重於愛滋病/性傳染疾病研究; 2.多為小群體、質性訪談研究; 3.無理論架構支持; 4.多針對男同志與女同志群體，雙性戀者或跨性別者健康議題較少被討論。因此，本研究使用生態系統理論(Ecological systems theory)為主體架構，提出三年研究計畫。第一年主要了解台灣LGBT各群體健康狀態、健康需求與醫療資源應用。第二年為了解台灣50歲（含）以上LGBT健康老化議題與可運用之社會資源，並且探討社會服務可能提供者對於老年LGBT群體服務提供意願、相關教育訓練需求及服務提供障礙。第三年主要運用第一年及第二年研究結果設計並執行台灣LGBT群體健康促進策略(包含健康講座及社群與健康資訊平台)，藉以提升LGBT群體健康知能與健康行為，降低健康照護之差距，最終促進台灣LGBT群體健康及其生活品質。<br> Abstract: Healthcare disparities are important issues among LGBT populations. Previous intentional studies suggest that LGBT populations have their own unique healthcare issues, healthcare behaviors and healthcare needs. Social support is a significant factor associated with LGBT populations’ utilization rates of health and social resources. Furthermore, healthcare issues within aging LGBT populations have been widely discussed by health-related professionals due to the coming acceleration of global population aging. In addition to healthcare issues, formal and informal social care resources have also paid attention, discussed and studied. However, there is a lacked of healthcare research on LGBT populations in Taiwan. Based on literature review in this current research proposal, limitations of healthcare studies conducted with Taiwanese LGBT populations include: 1) nearly half of Taiwanese LGBT healthcare studies focused on HIV or sexual transmitted diseases; 2) many of the studies were qualitative studies with small sample sizes; 3) majority of the studies had been designed without a healthcare theory as research framework; and 4) target populations of the previous Taiwanese LGBT healthcare studies were mainly gay and lesbians. There is a lacked of healthcare studies conducted with bisexual and transgender populations. Hence, a three-year research proposal was designed based on the ecological systems theory. The aims of the three-year research include: 1) the first-year research is to understand health status, healthcare needs and utilization rates of healthcare services within Taiwanese LGBT populations; 2) the second-year research is to explore and to survey issues of healthy aging and accessible healthcare and social care resources within Taiwanese LGBT populations 50 years of age or older, and also to understand willingness, related training needs and barriers of providing healthcare and social care services among possible health and social service providers; 3) the third-year research is to design health promotion strategies based on results from the first- and the second-year research and to provide the services in order promote the LGBT populations’ health status and their quality of life.女同志男同志雙性戀者跨性別者健康照護差距健康促進Lesbiangaybisexualtransgenderhealthcare disparities and healthy promotion