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Older lesbian women and gay men fear or experience discrimination from home care workers, with some choosing to hide their sexuality causing stress and anxiety. Mandatory LGBTQI+ sensitivity training for home care workers was identified for reducing homophobia and increasing the inclusivity of service providers. Despite fear of discrimination, lesbian women and gay men reported wanting and expecting the same level of care, dignity and respect as their heterosexual counterparts. Some concealed any LGBTQI+ materials in their homes to try and hide their sexuality from home care workers. Fear of accessing home care services due to the perceived threat of homophobia and past negative experiences of discrimination were common. Most participants were either lesbian women or gay men, with no studies investigating home care for transgender, queer, intersex or other sexual minorities. Seven studies involving 169 participants were included in the synthesis.
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The PROSPERO protocol registration identification number is: CRD42020168443. Findings were analysed using narrative synthesis. There were no restrictions on study design. Only peer reviewed research published in English was included. Hand searches of the reference lists of the included studies and relevant reviews were also conducted. The following six electronic databases were searched from the date of their first records until the first week of March 2020: MEDLINE PsycINFO Social Policy and Practice CINAHL SSCI and ASSIA. This systematic review aimed to examine older (over 60 years) LGBTQI+ people's perceptions and experiences of using formal home care services in the community. Most LGBTQI+ people want to remain in their own homes as they age, making it important to understand their experiences and perceptions of receiving home care. Numbers of older lesbian, gay, bisexual, transgender, queer and intersex (LGBTQI+) people are increasing worldwide in line with the ageing populations of many countries.