Exploring the End-of-Life Care Perceptions of Older Gay, Bisexual, and Other Men who have sex with Men

Abstract

Older gay, bisexual, and other men who have sex with men (gbMSM) face unique challenges in relation to end-of-life care and preparation. Using qualitative research methods, this study explored perceptions of older gbMSM in relation to end-of-life care planning. Data for this study are from a national study of older lesbian, gay, bisexual, and transgender adults and end-of-life service providers. Transcripts of five older gbMSM focus groups from across Canada were coded using qualitative description methodology and thematically analyzed. Major themes were mapped to an inverted social ecological model for health promotion interventions. This mapping created an understanding of where health promotion efforts can intervene to reduce barriers and strengthen facilitators for older gbMSM at end-of-life. Findings from this study offer recommendations to help reduce discrimination within health care services and supports a greater understanding of the complexities of end-of-life care for older gbMSM.