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1

Siverskog, Anna. "HETERONORMATIVE SILENCES AND QUEER LONGINGS IN LGBTQ PEOPLE’S EXPERIENCES OF ELDER CARE AND HOME." Innovation in Aging 7, Supplement_1 (December 1, 2023): 796. http://dx.doi.org/10.1093/geroni/igad104.2570.

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Abstract The meaning of home for queer people have been widely empirically explored as well as theorized. Not least has the home been important for the older generations of queer people, who lived in times where their sexualities and gender identities have been criminalized, pathologized and where there have been few public meeting places historically. However, having care needs may blur the lines between private and public and complicate notions of integrity in one’s home. This paper is based on qualitative interviews and aims to explore experiences of LGBTQ people in a Swedish context who have eldercare services; either people who have home-care-services or who are living in care homes. A queer theoretical framework and thematic analysis was used. The results illustrate how there is a silence around gender and sexuality in the everyday life within eldercare. This in turn is caused by material conditions where downsizing and effectivization of the eldercare has created pressed working conditions that leaves little room for small talk between staff and recipients of care. Norms on age, gender, and sexuality with notions on older people as asexual (as well as cisgender and straight) may play into this silence as well. The boundaries between the private (home) and the public (eldercare) become blurred. This in turn conditions which intimacy practices that become im/possible. Simultaneously, there is a presence of queer resistance as well as of longings for other (queer) futures.
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Jewusiak, Jacob. "Queer Futures for an Aging Planet." Poetics Today 44, no. 1-2 (June 1, 2023): 157–79. http://dx.doi.org/10.1215/03335372-10342141.

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Abstract Associated with disaster metaphors such as floods, avalanches, tsunamis, and icebergs, older people have come to take the symbolic form of the environmental impacts they are imagined causing. Yet even as older people are posited as the cause and imaginatively take the shape of the disaster, they are also registered as especially vulnerable to the effects of rising temperatures and extreme weather. While the tendency toward blame and care are not logically incompatible, this tension has resulted in a cultural narrative that fuels a deep sense of unfairness across generations. This article reads the sterility dystopia—a subgenre of science fiction where a global inability to have children results in aging populations and societal collapse—as registering the anxiety that arises at the intersection of age and the environment. Taking The Children of Men as a case study, I suggest that P. D. James's novel expresses the demographic dread arising from the relative shift in younger and older populations—not of a world lacking children, as we might expect, but of one catastrophized by the overabundance of the old and aging. Pushing against the link between climate activism and generational futurity, I draw on queer theory to argue that intergenerational kinship in the present privileges the values of affiliation, contingency, and immediacy that can inspire a more sustainable future.
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Siverskog, Anna, and Janne Bromseth. "Subcultural Spaces: LGBTQ Aging in a Swedish Context." International Journal of Aging and Human Development 88, no. 4 (March 26, 2019): 325–40. http://dx.doi.org/10.1177/0091415019836923.

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This study takes its starting point in the Swedish context to explore experiences of community among older lesbian, gay, bisexual, transgender, or queer (LGBTQ) adults. Using life story interviews with 33 self-identified LGBTQ older adults between the ages of 59 to 94 years, our aim is to explore meanings of community, belonging, and subcultural spaces at different times and in different ages. How are narratives of finding, entering, and creating subcultural spaces described, and how does time and geographical context play into these experiences in particular? What is it like to age within these communities and to enter these queer spaces later in life? This analysis illustrates how old age can be a disadvantage for entering or participating in queer subcultures, especially when it comes to dating, but the results also point to how old age can be something adding to one’s social capital within these subcultures. Further, results suggest that it is important to take social, cultural, and economic resources into account when analyzing community and relationships among older LGBTQ people.
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Bybee, Sara, Austin Oswald, and Vanessa Fabbre. "EMBRACING THE QUEER ART OF FAILURE IN GERONTOLOGICAL RESEARCH AND EDUCATION." Innovation in Aging 7, Supplement_1 (December 1, 2023): 79. http://dx.doi.org/10.1093/geroni/igad104.0254.

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Abstract Halberstam describes the queer art of failure as a performance of dissidence in which lesbian, gay, bisexual, transgender, and queer plus (LGBTQ+) people willing reject traditional conceptualizations of success. Yet, dominant theoretical frameworks in gerontology are predicated upon notions of success and productivity which may be problematic for understanding the life trajectories of LGBTQ+ people. The use of such heteronormative frameworks has implications for gerontological research in two important ways: 1) Research methods and researchers themselves may be constrained by the normative expectations placed on LGBTQ+ people and 2) Heteronormative frameworks obscure the nuance of LGBTQ+ older adults’ lived experiences and may limit important contributions to gerontological knowledge. This symposium applies the queer art of failure to examine LGBTQ+ aging scholarship that deviates from traditional research and education. Speaker one shares experiences from LGBTQ+ individuals facing dementia, using concepts that counter framing dementia as pathology and decline. Speaker two discusses how participants’ preferences for receiving research results via found poetry may reflect LGBTQ+ participants’ natural inclination to question hegemonic norms. Speaker three describes collaborating with a coalition of LGBTQ+ older adults of color on a participatory action research study, detailing how epistemic tensions shaped the research in unexpected ways. Speaker four discusses how institutional failure led to enthusiasm for LGBTQ+ curriculum development, student mentoring, and knowledge production. These presentations suggest that the inclusion of diverse conceptualizations of success and productivity should inform future aging scholarship, as they may center the experiences of historically marginalized populations such as LGBTQ+ older adults.
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Westwood, Sue, Trish Hafford-Letchfield, and Jemma James. "Older LGBTQ People and Religious Abuse: Implications for the UK Regulation of Care Provision in Later Life." OBM Geriatrics 08, no. 01 (February 21, 2024): 1–44. http://dx.doi.org/10.21926/obm.geriatr.2401270.

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Research suggests health, social care, and social work professionals who are highly religious, and adhere closely to traditional doctrine, are more likely to take a negative view of LGBTQ people. This includes those who provide services to older people. Negative attitudes towards lesbian, gay, bisexual, trans and/or queer (LGBTQ) people can translate into poor care and even abuse. This commentary discusses recent literature on older LGBTQ people’s experiences of religious abuse. It highlights the concerns among many older LGBTQ people about care from religious based providers where religion becomes a factor leading to abuse, associated with microaggressions, psychological abuse, harassment, discriminatory abuse, neglect, and poor care. Even though only a minority of religious care providers may hold negative attitudes towards LGBTQ people, and even fewer may allow this to inform poor/abusive practice, this is nonetheless an area of concern and merits further investigation. All care providers, including those with strongly held religious beliefs, should deliver equally good, affirmative, non-abusive care to older LGBTQ people, and to LGBTQ people of all ages.<strong>Key words</strong>LGBTQ; religious care providers; abuse; adult protection; equality and human rights; law
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6

Willis, Paul. "Queer, visible, present: the visibility of older LGB adults in long-term care environments." Housing, Care and Support 20, no. 3 (September 18, 2017): 110–20. http://dx.doi.org/10.1108/hcs-04-2017-0007.

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Purpose This paper is a conceptual discussion of the ways in which the diverse lives, identities and collective politics of lesbian, gay and bisexual (LGB) people can be made visible, and how they are made visible, in long-term care environments for older people. The purpose of this paper is to problematise strategies of visibility as methods for promoting social inclusion in care environments. Design/methodology/approach This is a conceptual discussion that draws on several social theorists that have previously discussed the politics of visibility, knowledge and sexuality. Findings Promoting increased visibility in itself does not fully grapple with the ways in which older LGB can be represented and known as particular kinds of sexual citizens. This potentially curtails a more holistic recognition of their needs, interests and wishes, inclusive of their sexual lives and histories. Making LGB lives visible in care environments may not always be a productive or affirmative strategy for dismantling homophobic views and beliefs. Practical implications The theoretical implications of a politics of visibility warrant a deeper consideration of strategies for promoting visibility. The paper concludes with a discussion of some of the practical implications for rethinking strategies of visibility in care environments. Originality/value Critical discussions about the application of visibility strategies, and the problematic assumptions contained within such strategies, are lacking in relation to mainstream housing and social care provision for older LGB people. This paper seeks to initiate this important discussion.
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Chan, Christian D., Camille D. Frank, Melisa DeMeyer, Aishwarya Joshi, Edson Andrade Vargas, and Nicole Silverio. "Counseling Older LGBTQ+ Adults of Color: Relational-Cultural Theory in Practice." Professional Counselor 11, no. 3 (October 2021): 370–82. http://dx.doi.org/10.15241/cdc.11.3.370.

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Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) communities have faced a history of discriminatory incidents with deleterious effects on mental health and wellness. Compounded with other historically marginalized identities, LGBTQ+ people of color continue to experience disenfranchisement, inequities, and invisibility, leading to complex experiences of oppression and resilience. Moving into later stages of life span development, older adults of color in LGBTQ+ communities navigate unique nuances within their transitions. The article addresses the following goals to connect relational–cultural theory (RCT) as a relevant theoretical framework for counseling with older LGBTQ+ adults of color: (a) explication of conceptual and empirical research related to older LGBTQ+ adults of color; (b) outline of key principles involved in the RCT approach; and (c) RCT applications in practice and research for older LGBTQ+ adults of color.
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Moon, Ah-Yeong. "Creating Space for Older LGBTQ People Through Queer Independent Documentaries: Focusing on Home Ground and Life Unrehearsed." Journal of Literature and Film 24, no. 2 (September 30, 2023): 427–56. http://dx.doi.org/10.36114/jlf.2023.9.24.2.427.

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9

Wilson, Kimberley, Arne Stinchcombe, and Sophie M. Regalado. "LGBTQ+ Aging Research in Canada: A 30-Year Scoping Review of the Literature." Geriatrics 6, no. 2 (June 12, 2021): 60. http://dx.doi.org/10.3390/geriatrics6020060.

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Canada has a unique socio-political history concerning the inclusion of lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people. With aging populations, understanding diverse groups of older adults is paramount. We completed a systematic search and scoping review of research in Canada to quantify and articulate the scale and scope of research on LGBTQ+ aging. Our search identified over 4000 results and, after screening for relevance, our review focused on 70 articles. Five major themes in the literature on LGBTQ+ aging in Canada were identified: (1) risk, (2) HIV, (3) stigma, and discrimination as barriers to care, (4) navigating care and identity, (5) documenting the history and changing policy landscapes. Most of the articles were not focused on the aging, yet the findings are relevant when considering the lived experiences of current older adults within LGBTQ+ communities. Advancing the evidence on LGBTQ+ aging involves improving the quality of life and aging experiences for LGBTQ+ older adults through research.
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Grassau, Pamela, Arne Stinchcombe, Roanne Thomas, and David Kenneth Wright. "Centering sexual and gender diversity within Compassionate Communities: insights from a community network of LGBTQ2S+ older adults." Palliative Care and Social Practice 15 (January 2021): 263235242110426. http://dx.doi.org/10.1177/26323524211042630.

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Background and Rationale: The Compassionate Communities movement emphasizes the importance of illness, disability, dying, caregiving, and grief across the lifespan and highlights the communal responsibility of caring for one another. There is a need to recognize and incorporate the needs of diverse communities within this movement and research on dying, caregiving and grief. An important axis of this diversity is related to individuals’ sexual orientation and gender identity. Methods: As part of the early phases of Healthy End of Life Project Ottawa, a Compassionate Communities, community-based, participatory action research project, we held focus groups with older members of lesbian, gay, bisexual, transgender, queer, and two-spirit communities. Nine older lesbian, gay, bisexual, transgender, queer, and two-spirit people participated in the focus groups (mean age = 72 years). Data were analysed using an inductive, reflexive thematic approach. Results: Through an iterative analysis process, we identified themes related to lifecourse experiences of trauma, the need for safety within care contexts, the importance of relationships and connection, as well as participants’ ability to ask for and receive help. A core tenet of Compassionate Communities involves responding to the needs of diverse communities with respect to aging, end-of-life, and grief. Our findings emphasize the importance of incorporating the voices of diverse sexual and gender identities and promoting health equity within Compassionate Community initiatives.
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Harris, Melissa, and Jennifer May. "HEALTH EXP ERIENCES OF SEXUAL AND GENDER MINORITY PEOPLE LIVING WITH DEMENTIA AND THEIR CAREGIVERS: A SCOPING REVIEW." Innovation in Aging 6, Supplement_1 (November 1, 2022): 775–76. http://dx.doi.org/10.1093/geroni/igac059.2806.

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Abstract People living with dementia and older adults who identify as sexual and gender minority (SGM - lesbian, gay, bisexual, transgender, queer individuals) both represent minoritized groups of older adults, but little is known about the health experiences of older adults who are at the intersection of having dementia and also identify as SGM. This review explored the extent and nature of research focused on health and healthcare experiences of SGM people with dementia and/or their informal caregivers. A scoping review framework was used given the exploratory nature of the project’s purpose. Health librarians comprehensively searched four databases (MEDLINE, CINAHL, PsycINFO, AgeLine) to identify relevant studies. A total of 8,137 unique titles and abstracts were reviewed by 2 independent reviewers. Forty citations were determined relevant and reviewed by full text. Eight studies met inclusion criteria and were analyzed thematically. Study methods were quantitative cross-sectional (n=2), qualitative exploratory (n=4), and a mixed methods case study (n=1). Studies were published from 2010–2022. Sample sizes ranged from 1 to 415 (M=113, SD=116). Four studies focused on caregivers, 2 on persons with dementia, and 1 on dyads. Themes emerged pertaining to caregiver health and well-being, identity, relationships, disclosure, discrimination, and safety. Findings highlight the significance of inclusive care that addresses intersecting psychosocial and health-related identities (e.g., cognitive status, SGM status, race/ethnicity, substance abuse history, multimorbidity) and that protects the rights of families of choice. More research is needed to better understand how sociopolitical structure influences dynamics between cognitive health and SGM status among older adults.
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Bouchard, Lauren. "FROM FAILURE TO OPPORTUNITY IN QUEERING GERONTOLOGICAL CURRICULUM." Innovation in Aging 7, Supplement_1 (December 1, 2023): 80. http://dx.doi.org/10.1093/geroni/igad104.0258.

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Abstract Institutes of higher education vary tremendously in their support of LGBTQ students, which can contribute to unequal educational opportunities and outcomes. The presence of LGBTQ people in education can be inherently divisive, with some states and educational institutions prohibiting the inclusion of LGBTQ-related topics in the curriculum. LGBTQ students who experience discrimination in the classroom and heterosexism in the curriculum may be less motivated to complete program requirements, resulting in lower completion rates. Attrition of these marginalized students can lead to fewer qualified gerontologists who reflect the increasing diversity of the aging population. Additionally, the gerontological curriculum within and across programs may fail to capture nuanced and diverse narratives of resilience and lived experiences due to dominant, heteronormative educational contexts and frameworks. Through the lens of the queer art of failure, the presenter utilizes autoethnography (e.g., analysis of past writing and personal communications) as a queer person in a non-affirming gerontology graduate program. They will discuss how institutional failure lead to enthusiasm for curriculum development, student mentoring, and queer knowledge dissemination. Key findings include the significance of institutional clarity on academic freedom, the necessity of institutional support, and the solidarity of LGBTQ students, faculty, and older adults. The presenter will conclude with their future research directions and strategies to support students and early-career scholars to overcome political, institutional, and what are often felt as personal failures.
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Enke, Finn. "Paintings." South Atlantic Quarterly 120, no. 2 (April 1, 2021): 363–67. http://dx.doi.org/10.1215/00382876-8916102.

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Watercolor and ink help me dwell with the porousness of all morphologies emerging through birth/death, living/nonliving, dis/ability, interbeing, visible and nonvisible embodiments, and the passages of time. In real life, numerous non-trans people have told me that gender transition gives me control over what happens to my body and what people make of it; gives me more freedom than they have to choose what my body/mind does in the world; makes me get younger instead of older. Like me, watercolor has its own opinion and illumination. Like me, it is mortal. When I use ink, as in these black ink paintings, I often close my eyes as I make the lines. The canvas witnesses my nonlinear, non-Cartesian, queer experience of time and space, grief, and love.
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Pereira, Henrique, and Debanjan Banerjee. "Healthy Longevity Among the LGBTQIA+ Population: From Neglect to Meeting Their Needs." Consortium Psychiatricum 3, no. 1 (January 15, 2022): 88–91. http://dx.doi.org/10.17816/cp146.

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The world is facing rapid population aging. This is associated with an increase in the number of older people from the lesbian, gay, bisexual, trans, queer, intersex, or asexual (LGBTQIA+) community. This population faces unique challenges, including ageism, sexual identity stigma, and self-stigma. The older LGBTQIA+ population are neglected by, and invisible to, healthcare interventions, research, and policy changes. In light of the paradigm shift in healthcare towards a rights-based approach, healthy aging has become an important construct. Healthy aging, according to the World Health Organization (WHO), is a continuous process of optimizing opportunities to maintain and improve physical and mental health, autonomy, and quality of life throughout the life course. This commentary highlights the unique vulnerabilities of the aging LGBTQIA+ population, advocates the inclusion of their voices at all levels of the healthcare system, and discusses the way forward to enable their healthy aging.
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Chironi, Daniela. "Generations in the Feminist and LGBT Movements in Italy: The Case ofNon Una Di Meno." American Behavioral Scientist 63, no. 10 (March 6, 2019): 1469–96. http://dx.doi.org/10.1177/0002764219831745.

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The article analyses the participation of young people in emerging social movements, focusing on the experience of the Italian Non Una Di Meno (NUDM) movement combatting male violence against women. Challenging scholarly assumptions of growing youth apathy in democracies, the analysis reveals high levels of participation on the part of the younger population engaged in gender-related struggles. Hit by both conservative and austerity policies associated with the economic and political crisis, feminist and LGBTQI (lesbian, gay, bisexual, transgender, queer, and intersexual) Millennials reacted by increasing their involvement in contentious politics. In the protest arena, they have crossed paths with older generations, activating processes of exchange, but also intergenerational tensions. Based on original qualitative data from ten semi-structured interviews with movement activists in Florence and Bologna, this piece of research sheds light on the role of young people in the birth and evolution of NUDM, and the relationship between different generations of activists within this movement. More specifically, it explains continuities and discontinuities between veterans and younger activists’ sources of theoretical inspirations, organizational models and mobilization resources, strategic priorities and action repertoires. Millennials embrace intersectional feminism and queer theory; opt for grassroots, horizontal organizing; adopt a conflictual attitude towards the state, and dialogical, introspective dynamics within the movement. Intergenerational disagreements especially relate to sex work, and surrogate motherhood.
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Lampe, Nik, Harry Barbee, Nathaniel Tran, and Tara McKay. "FAITH, SOCIAL SUPPORT, AND END-OF-LIFE CARE PREPARATION AMONG LGBTQ+ OLDER ADULTS." Innovation in Aging 7, Supplement_1 (December 1, 2023): 412. http://dx.doi.org/10.1093/geroni/igad104.1363.

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Abstract Faith communities can provide older adults support as they plan for end-of-life care, but how this support unfolds for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people is uncertain. Although many LGBTQ+ people experience marginalization within faith communities, they also report experiences of acceptance and affirmation. This mixed-methods study investigates how LGBTQ+ older adults’ involvement in faith communities shape their end-of-life care perceptions and preparation. First, we analyze panel data from the Vanderbilt University Social Networks, Aging, and Policy Study (N=1,256) to assess the relationship between faith community involvement and levels of social support. We find that 63% of older LGBTQ+ respondents identify with a religious affiliation, and 31% attend religious services several times a year or more. Attending religious services several times a year are more is associated with having a spouse in the household (11.4 vs 7.1%, p&lt;.05) and reporting larger personal networks (11.7 vs 9.9 individuals; p&lt;.001). Service attendance is also associated with having support when seeking advice about important decisions and having social support from friends. In the second portion of our study, we analyze data from in-depth interviews with 47 LGBTQ+ older adults to understand how faith communities influence preparation for end-of-life care. Many interviewees described their faith communities as guides that help them select reliable healthcare providers and formulate their end-of-life care plans. Overall, these findings reveal important ways that faith communities can foster social support and promote optimal end-of-life care among older LGBTQ+ adults.
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Bratt, Anna Sofia, Ann-Christine Petersson Hjelm, Matilda Wurm, Richard Huntley, Yoshihisa Hirakawa, and Tsukasa Muraya. "A Systematic Review of Qualitative Research Literature and a Thematic Synthesis of Older LGBTQ People’s Experiences of Quality of Life, Minority Joy, Resilience, Minority Stress, Discrimination, and Stigmatization in Japan and Sweden." International Journal of Environmental Research and Public Health 20, no. 13 (July 3, 2023): 6281. http://dx.doi.org/10.3390/ijerph20136281.

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There is a lack of research on older lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) adults. This systematic review aimed to synthesize Japanese and Swedish qualitative research on LGBTQ adults aged 60 years or older following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Japanese and Swedish articles, published in English, were searched across ASSIA, CINAHL, Medline, PsychINFO, PubMed, Scopus, and Sociological Abstracts databases. Additional searches were conducted to include studies in Japanese or Swedish. There were no papers from Japan, whereas five from Sweden were reviewed. One article was excluded due to the wrong phenomenon. Four articles were included, involving 48 participants aged 60–94 years. We summarized the findings using a deductive thematic synthesis. Two major themes emerged: (a) quality of life, minority joy, and resilience (positive aspects), and (b) discrimination, stigmatization, and minority stress (negative aspects). The participants wished to be acknowledged for their own assets and unique life histories, and to be treated as everyone else. They emphasized the importance of knowledge of LGBTQ issues among nursing staff, so that older LGBTQ people are treated in a competent and affirmative way. The study revealed several important topics for understanding older LGBTQ adults’ life circumstances and the severe lack of qualitative studies in Japan and Sweden.
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Valenti, Korijna. "It's Like We Speak a Different Language: Support Needs and Preferences of Older LGB Women Who Have Lost a Spouse or Partner." Innovation in Aging 4, Supplement_1 (December 1, 2020): 68. http://dx.doi.org/10.1093/geroni/igaa057.221.

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Abstract Needs during and following end-of-life (EOL) experiences are distinctive for sexual and gender minority (SGM) people and, in particular, older lesbian, gay, and bisexual women (LGB) women; however, access to supportive services is limited. This poster presents findings from a qualitative study of older (60+) LGB women who have lost a spouse or partner. This work draws on queer gerontological theory, addressing issues of individual agency, systemic silence, and marginalization by invisibility of older SGM women in order to illuminate specific areas in which policy may be changed and improved. The study analyzed participants’ (n = 16) reflections on their experiences of losing a loved one, including how they sought out and received essential grief support and the type of support they would have preferred and from whom, particularly immediately following their spouse or partner’s death. Thematic analysis revealed three main findings: 1) having a women-identifying support presence at the time of death for both themselves and their spouse or partner; 2) needing LGB women (or women allies) during EOL for support; and 3) preferring grief groups comprised of other LGB women (or women allies) based on their feelings of difference from gay men and heterosexual/non-SGM women and men. Findings reveal the need for a better understanding among healthcare and social work support professionals regarding LGB women’s grief needs and preferences; grief options (e.g. lesbian and non-monosexual (bi+) grief groups); and how to implement policy changes reflecting these needs and preferences.
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Oswald, Austin, and Vanessa Fabbre. "Applied Scholarship in LGBTQ Aging: Implications for Policy and Practice." Innovation in Aging 4, Supplement_1 (December 1, 2020): 673–74. http://dx.doi.org/10.1093/geroni/igaa057.2339.

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Abstract Lesbian, gay, bisexual, transgender, and queer (LGBTQ) elders have shown considerable strength while aging in a society predicated on heteronormative and binary expectations for gender and sexuality. The life trajectories of LGBTQ older adults are shaped by discrimination and stigmatization, and the embodied resistance that comes with demanding their full participation and recognition in society. This symposium highlights the innovative scholarship of emerging scholars in the field of LGBTQ aging who are engaging in diverse substantive and methodological investigations. The first study takes a comparative cohort approach to explore differences in stressors and depressive symptomatology between younger and older sexual minorities, highlighting the significance of cohort effects among LGBTQ people. The second paper uses data from the Health and Retirement Study to examine anticipated nursing home placement needs between LGB and heterosexual adults with suggestions to better prepare aging service networks. The third describes the influence of state legislature mandating LGBTQ-sensitivity training by examining differences in provider baseline knowledge and attitudes toward LGBTQ older adults in two states, one mandating LGBTQ-sensitivity training and one not. The final paper highlights findings from a multi-methods study that explores how long-term care workers, managers, and administrators respond when staff, visitors, or residents challenge LGBTQ rights for religious and moral reasons. Although substantively and methodologically varied, these studies all demonstrate the importance of applied scholarship that builds knowledge in support of policies and practices that promote equity among LGBTQ individuals across the life course. Rainbow Research Group Interest Group Sponsored Symposium.
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Edwards, O. Winslow, Eliot Lev, Juno Obedin-Maliver, Mitchell R. Lunn, Micah E. Lubensky, Matthew R. Capriotti, J. J. Garrett-Walker, and Annesa Flentje. "Our pride, our joy: An intersectional constructivist grounded theory analysis of resources that promote resilience in SGM communities." PLOS ONE 18, no. 2 (February 3, 2023): e0280787. http://dx.doi.org/10.1371/journal.pone.0280787.

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Introduction Sexual and gender minority (SGM) communities, including lesbian, gay, bisexual, transgender, queer, intersex, asexual, and Two-Spirit people, have historically been researched from a deficits-based approach that fails to highlight the ways communities survive and thrive in the face of adversity. This study endeavored to create a model of resources that promote SGM resilience using a sample that amplified traditionally underrepresented perspectives, including individuals from racial and/or ethnic minority groups, trans and/or gender diverse individuals, individuals on the asexual spectrum, and older adults. Methods Participant responses to three open-ended questions from The PRIDE Study’s (an online national longitudinal cohort study of SGM people) 2018 Annual Questionnaire were analyzed using constructivist grounded theory. These questions examined what brings people joy and what they appreciate most about their SGM identity. Participants (n = 315) were randomly selected from a larger sample of people who had responded to demographic questions and at least one open-ended question (N = 4,030) in a manner to ensure diverse representation across race/ethnicity, gender identity, sexual orientation, age, and region of residence. Results The proposed model includes social resources (Connecting with Others, Cultivating Family, Helping Others, Participating in Culture and Spirituality), affective generative resources (Engaging in Enriching Pursuits, Accessing Economic Resources), and introspective resources (Exploring One’s Authentic Self, Persevering through Hardship) that are theorized to contribute to SGM resilience across the life course. Conclusions SGM communities may tap into various resources to promote resilience. As public health practitioners, we can help to foster this resilience by resourcing and supporting initiatives that foster social connection, create spaces for community members to engage with various types of enrichment, facilitate access to economic resources, and provide support and inclusion for all SGM community members.
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Quach, Joshua Minh. "Healthcare Experiences of Men Who Have Sex with Men: Understanding Trauma, Patient-Provider Relationships, and the Lasting Impacts of the AIDS Crisis." puntOorg International Journal 4, no. 1 (November 26, 2019): 29–48. http://dx.doi.org/10.19245/25.05.pij.4.1.5.

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Studies of patients’ health outcomes and the quality of healthcare services show that the patient-provider relationship is crucial, and further, that a patient-centered approach to care is essential for effective public reporting and ensuring high quality health-care results (Theis 2016). However, what might happen if a patient-provider relationship is undeveloped, or even hostile? Inadequate treatment of patients in medical settings is a common experience of sexual minorities, who have historically experienced greater burdens of disease and discrimination. This study explores the narratives and lived-experiences of MSM to better understand the patient-provider relationships for MSM, and to some extent queer people in general, given the growing social and political acceptance of queer identities. MSM is the population of interest because it is a historically marginalized group that reports significant incidence of stigma, especially surrounding their sexual health and sexual behaviors. In order to assess how the evolving social landscape has affected the experiences of MSM, 20 men were interviewed about their healthcare experiences; 10 of these men were between the ages of 18 and 49, and the remaining 10 men were 50 years old or older. Through a comparative analysis, this study assesses differences and similarities in healthcare experiences—as well as the subsequent health-related needs and preferences—of participants, particularly with regard to social trauma, medical trauma, and their proximity to the AIDS crisis of the 1980s. Studies of patients’ health outcomes and the quality of healthcare services show that the patient-provider relationship is crucial and that a patient-centred approach to care is essential for ensuring high-quality healthcare results. However, what might happen if a patient-provider relationship were undeveloped, or even hostile? Inadequate treatment of patients in medical settings is a common experience of sexual minorities, who have historically experienced greater burdens of disease and discrimination. This study explores the lived experiences of men who have sex with men (MSM) to better understand their patient-provider relationships. MSM are the population of interest because they are historically marginalised and stigmatised, especially surrounding their sexual health and sexual behaviours. In order to assess how an evolving social landscape has affected the experiences of MSM, 20 men were interviewed. Among them, 10 men were between the ages of 18 and 49, and 10 were 50 or older. Through a comparative analysis, this study assesses differences and similarities in healthcare experiences – and the resulting health-related needs and preferences – of participants, particularly with regard to social trauma, medical trauma, and their proximity to the 1980s AIDS crisis. Additionally, race, ethnicity, and language emerged during interviews with participants of colour as salient factors which impacted their healthcare experiences.
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Flatt, Jason, Whitney Wharton, and Joel Anderson. "LGBTQIA+ Caregiving and Care Needs of Persons Living With Alzheimer’s Disease and Related Dementias." Innovation in Aging 5, Supplement_1 (December 1, 2021): 402–3. http://dx.doi.org/10.1093/geroni/igab046.1562.

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Abstract Lesbian, gay, bisexual, transgender, queer, intersex, and/or asexual (LGBTQIA+) older adults are a growing population. LGBTQIA+ persons living with Alzheimer’s disease and related dementias (ADRD) face unique challenges in terms of accessing care and support compared with their non-LGBTQIA+ counterparts. The care challenges faced by LGBTQIA+ people living with ADRD may be compounded by the fact they are more likely to be single, more likely to live alone, and less likely to have children. Several studies have started to explore the unique needs of LGBTQIA+ caregivers and persons living with ADRD. In this symposium, we highlight current research addressing the psychosocial and health-related needs of LGBTQIA+ caregivers and persons living with ADRD. Two presentations address psychosocial factors and health among LGBTQIA+ caregivers of persons with ADRD. Krystal Kittle will present analyses using population-based data on LGBTQIA+ caregivers in terms of caregiving burden and mental health. Shana Stites will present results from the Health and Retirement Study highlighting differences among same-sex spouses in terms of caregiving patterns and research participation. Next, Ethan Cicero will present prevalence estimates of care needs and challenges among diverse transgender adults living with memory problems. Finally, we will highlight a promising intervention for LGBTQIA+ caregivers of persons with ADRD. Jason Flatt will describe the adaptation and feasibility of the Savvy Caregiver program for LGBTQIA+ caregivers. Joel Anderson, an expert in LGBTQIA+ caregiving for persons with ADRD, will facilitate a conversation about these results and place them in the context of current LGBTQIA+ and ADRD research.
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Bromseth, Janne. "LGBITQ+ INCLUSIVITY IN GERIATRIC CARE IN NORWAY: ATTITUDES AND PRACTICES AMONG HEALTH CARE PERSONNEL." Innovation in Aging 7, Supplement_1 (December 1, 2023): 740. http://dx.doi.org/10.1093/geroni/igad104.2395.

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Abstract Person-centered care is the dominating care philosophical framework being used in geriatric care services in Norway today, as a point of departure for good practice. It implies that all care-receivers should be met from an empathic and individual perspective- and an increased focus on basic psychological needs. To be positively confirmed in relation to ones′ identities and to feel included in communities are central parts of this (Kitwood 1997). But is this also the case for older LGBTIQ+-adults? And which competence and knowledge on LGBTIQ+-adults′ life course experiences and aging conditions exist amongst health care staff working in long-term care facilities, home care services and day care activities? This paper is based on results from the interview study “Queer perspectives on geriatric care in Norway”, investigating experiences of person-centered care and inclusive practices from two perspectives; non-heterosexual care receivers and care providers in the Oslo-area. The analyzed material consists of: 1) interviews with 11 LGBQ-people between 61- 78 years old about their experiences with health care services over the life course 2) 3 focus groups and 2 individual interviews with health care staff working in a range of health and care services targeting 65+ adults. A majority of the interviewees had received training on LGBTIQ+-inclusive health care. The paper will mainly present results from the second study. What are leaders′ attitudes and knowledge regarding active work with gender and sexual diversity and equal access to care, and which experiences do they have from implementing LGBTIQ-awareness in policy and care practices?
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Chen, Yung-Hui, Cindy Jones, Amy Bannatyne, and Maria Horne. "P207: Pilot testing of the Health and Social Care Professionals’ Knowledge & Attitudes towards Later Life Sexuality (HSCP-KALLS) instrument." International Psychogeriatrics 35, S1 (December 2023): 148. http://dx.doi.org/10.1017/s104161022300282x.

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Objective:Due to a lack of validated assessment instruments, this study aimed to pilot test the newly developed Health and Social Care Professionals’ Knowledge & Attitudes Towards Later Life Sexuality (HSCP-KALLS) instrument. The HSCP-KALLS instrument is designed to assess health and social care professionals’ knowledge (46 items) and attitudes (40 items) towards later life sexuality including components related to dementia, sex worker services and Lesbian, Gay, Bisexual, Transgender, Intersex or Queer/Questioning (LGBTIQ+).Methods:A group of health and social care professionals (n = 22) and Healthcare-related educator (n = 2) were invited to complete the HSCP-KALLS instrument. Feedback on items phrasing and the experience of completing the instrument was sought.Results:Written feedback regarding either phrase of items or use of the instrument was not specifically addressed by participants. A high level of internal consistency was revealed for both the knowledge and attitude items (α = 0.84 & 0.88, respectively). A decent level of knowledge (M=39.75, SD=4.90) and positive attitudes (M=161.04, SD=13.50) towards later life sexuality were demonstrated by participants. Participants had greater knowledge on items related to ageing, intimacy, and sexuality (95%), with a lower level of knowledge on items related to sexuality diversity (e.g., LGBTIQ+). Providing more trainings about later life sexuality was frequently addressed in the knowledge written feedback. Participants generally demonstrated positive attitudes towards later life sexuality. However, a high proportion of ambivalent responses were noted on some attitude items (e.g., A9 & A18) that participants indicated in written feedback that their responses would depend on circumstances.Conclusion:Preliminary reliability and feasibility of using the HSCP-KALLS instrument has been encouraging, with further testing in large samples now, required to robustly establish psychometric properties. Supporting later life sexuality is essential and the use of HSCP-KALLS instrument can inform and identify professional development needs of health and social care professionals to improve care provision for older people by supporting their expression of sexuality in healthcare settings.
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Shah, Anish, Michele Darling, Olivia Arstein-Kerslake, Tiffany Morgan, Aubreen Vance Tovrea, James Young, and Helen Laines. "Measuring the Impact of COVID-19 on Siyan Mental Health Patients Using the Epidemic-Pandemic Impacts Inventory: Survey Study." JMIR Formative Research 5, no. 7 (July 29, 2021): e29952. http://dx.doi.org/10.2196/29952.

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Background Recent research has shown that the impacts of the COVID-19 pandemic and social isolation on people’s mental health are quite extensive, but there are limited studies on the effects of the pandemic on patients with mental health disorders. Objective The objective of this study was to assess the negative impacts of the COVID-19 pandemic on individuals who have previously sought treatment for a mental health disorder. Methods This study uses the newly developed Epidemic-Pandemic Impacts Inventory (EPII) survey. This tool was designed to assess tangible impacts of epidemics and pandemics across personal and social life domains. From November 9, 2020, to February 18, 2021, a total of 245 adults recruited from a mental health clinic completed the consent form and responded to the survey link from the Siyan Clinical Corporation and Siyan Clinical Research practices located in Santa Rosa, California, USA. Results We found that the least affected age group included individuals aged 75 years or older. This was followed closely by the 65- to 75-year-old age group. People with children under the age of 18 years also reported both more negative indicators associated with the pandemic and more positive indicators compared to those without children at home. Gender queer, nonconforming, and transgender individuals may also be at higher risk for more negative impacts associated with the pandemic. When respondents were assessed with regard to their mental health diagnosis, no differences were noted. Substance use also increased during the pandemic. Conclusions In conclusion, the data collected here may serve as foundational research in the prevention, care, and treatment of mental health disorders during pandemics such as COVID-19. Populations such as those with previously diagnosed mental health disorders are particularly at risk for negative effects of pandemic-related stressors such as social isolation, especially if they have children in the household, are part of a younger age group, or have substance use disorder. Gender may also be a factor. Further, the EPII survey may prove to be a useful tool in understanding these effects. Overall, these data may be a critical step toward understanding the effects of the COVID-19 pandemic on populations with a mental health diagnosis, which may aid mental health practitioners in understanding the consequences of pandemics on their patients’ overall well-being. Trial Registration ClinicalTrials.gov NCT04568135; https://clinicaltrials.gov/ct2/show/NCT04568135
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Tadd, Win. "Aging and agism in the 21st century." Reviews in Clinical Gerontology 10, no. 3 (August 2000): 203–5. http://dx.doi.org/10.1017/s0959259800010315.

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EditorialWhilst preparing this editorial, I was struck by the ambivalent attitudes displayed towards older people in Western society. In London, for example, the crowds thronging the Mall and cheering the Queen Mother for reaching her centenary belied the fact that society generally treats its older members with disdain. That is, until they reach 100 years and then everyone wants to know the secret of their success.
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Carvalho, Joana, José Oliveira, José Magalhães, Antônio Ascensão, Jorge Mota, and José Manuel Da Costa Soares. "Effects of a physical activity program in older people: comparison between isokinetic and isotonic evaluations." Revista Paulista de Educação Física 17, no. 1 (December 20, 2003): 74. http://dx.doi.org/10.11606/issn.2594-5904.rpef.2003.138845.

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O objetivo principal deste estudo foi o de avaliar o efeito de um programa complementar de atividade física na força muscular de idosos em função do método de avaliação. Dezenove idosos (12 mulheres e sete homens) com idade média de 68,7 ± 4,2 anos, um peso médio de 66,8 ± 8,6 kg e altura média de 1,6 ± 0,1 m, participaram num programa complementar de atividade física durante seis meses, englobando sessões de atividade física generalizada (2 x sem.; 50 min) e de treino específico de força em máquinas de resistência variável (2 x sem.; 40-50 min). A força muscular foi avaliada isotônica e isocineticamente em quatro períodos distintos: inicial (“baseline”), intermédio (três meses após), final (seis meses após) e destreino (um mês após término da atividade). Assim, o teste de uma repetição máxima (1RM) foi utilizado como medida da força concêntrica dinâmica para a extensão e flexão do joelho. A força máxima isocinética dos extensores e flexores do joelho foi avaliada, em ambos os membros, através de um dinamômetro isocinético (Biodex System 2, USA), em duas velocidades distintas: 60°/s e 180°/s. Os resultados foram os seguintes: a) a força dos músculos extensores e flexores do joelho aumentou após treino, com particular evidência no membro não-dominante; b) existe uma especificidade da resposta de adaptação relativamente ao método de avaliação utilizado, sendo que os resultados da avaliação da força de forma isocinética foram inferiores aos obtidos pela avaliação isotônica através do método de 1RM; c) na avaliação pelo método de 1RM, ao contrário da avaliação isocinética, para além das melhorias após seis meses de treino, foram observadas alterações significativas, quer nos flexores, quer nos extensores do joelho após os três primeiros meses de treino, não sendo, no entanto, observadas alterações nos últimos três meses; d) em oposição aos resultados obtidos pela avaliação isotônica, o destreino não teve um impacto significativo na redução dos níveis de força isocinética dos idosos. Conclui-se que um programa complementar de atividade física parece ser suficientemente intenso e específico para induzir melhorias na força muscular de idosos independentes. No entanto, a magnitude de resposta de adaptação e desadaptação após treino e destreino, é dependente do método de avaliação utilizado
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Smith, Raymond, and Toni Wright. "Older lesbian, gay, bisexual, transgender, queer and intersex peoples’ experiences and perceptions of receiving home care services in the community: A systematic review." International Journal of Nursing Studies 118 (June 2021): 103907. http://dx.doi.org/10.1016/j.ijnurstu.2021.103907.

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Ain, Syarifah Nurul, Liew Houng Bang, Premala Subramaniam, and Ho Hee Kheen. "21 Fall Risk Assessment Outcomes in Community Dwelling Elderly Patients on Warfarin (FRAIL-W)." Age and Ageing 48, Supplement_4 (December 2019): iv6—iv8. http://dx.doi.org/10.1093/ageing/afz164.21.

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Abstract Background Elderly patients on warfarin are prone to experience severe bleeding complications when they fall. In warfarin clinic, they are not routinely screened for falls risk before starting on warfarin therapy. The purpose of our study was to determine the incidence of fall and its associated factors, severity of injury following fall and grading of falls risk among community dwelling elderly patients on warfarin in two tertiary hospitals in Sabah. Methods This is a cross-sectional study conducted in warfarin outpatient clinic, Hospital Queen Elizabeth and Hospital Queen Elizabeth II for 10 weeks (Mac-May 2019). Inclusion; patients aged ≥60 years old, on lifelong warfarin therapy. Exclusion; dementia, psychosis, severe cognitive impairment, institutionalised, inability to stand. Face-to-face interviews were done using Falls Risk for Older People – Community (FROP-Com) and Timed Up and Go (TUG) test. Results Out of 162 patients, majority were males (65.4%), Chinese (50.6%), married (93.2%), stays with family (96.9%) and had secondary education (42.6%). Mean age was 70 years old. 82.1% of them had atrial fibrillation; 63.2% had low CHA2DS2VASC score (less than 4) and 91.7% had low HAS-BLED score (less than 3). 22 patients (13.6%) experienced actual fall in past 12 months; only 1 patient experienced major injury. FROP-Com showed majority 133 patients (82.1%) were at low risk of fall. Risk factors of fall include polypharmacy and comorbidity affecting balance and mobility. Mean TUG test score was high; 13.7 seconds. Conclusion Fall incidence among patients on warfarin is substantial. Risk factors include polypharmacy and comorbidity affecting balance and mobility. This interim analysis showed majority patients had low fall risk (82.1% on FROP-Com, 58.0% on TUG test). Among fallers, FROP-Com risk score was moderate-high in 10 patients (45.5%). Further analysis could reveal potential value of these tests in refining fall risk assessment in this group of patients.
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Löfström, Jan. "The Birth of the Queen/the Modern Homosexual: Historical Explanations Revisited." Sociological Review 45, no. 1 (February 1997): 24–41. http://dx.doi.org/10.1111/1467-954x.00052.

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In this paper I review a number of explanations for the emergence of the modern homosexual category in Western (mainly Northwest European) cultures. I suggest there are four different emphases in respect of the social and cultural factors given priority in interpretations of the formation of the homosexual category. Of course, individual studies have often taken into consideration more than one single factor (most notably, Greenberg, 1988; Chauncey, 1994), and the grouping of previous studies that I here suggest only indicates where the focus of a given study is. The social and cultural factors emphasized in these four approaches are: 1) the effects of competitive capitalism on the bourgeois/middle class political economy of sexuality and sexual morals; 2) the rise of expert knowledges, controlling systems, and modern bureaucracies; 3) tensions within gender order and the struggle over new definitions of gender roles; 4) the rise of free wage labour, the proliferation of urban anonymity, and the unfolding of new modes of existence in the life-world of modern pluralist urban society. Finally, the article briefly considers the potential erosion of the homosexual vs. heterosexual divide in the light of the historical background. Almost thirty years have passed since ‘The Homosexual Role’, by Mary McIntosh (1968), the first notable contribution to the historical sociology of homosexuality operating within a social constructionist view of homosexuality. Since then, there have been numerous studies of the formation of the conceptual category and social aggregate of ‘modern homosexual’. Researchers have differed about whether the pedigree of ‘homosexual’ and homosexual identities and subcultures in Western societies can be traced back to the late nineteenth century or to the early eighteenth century, and whether or not some notion of ‘homosexual’ was established in the cultural imagery before the last fifty years or so. It might be fruitful to distinguish between the historically older categories of ‘molly’, ‘queen’, and ‘fairy’ on the one hand, and the more recent ‘homosexual’ on the other hand. It can be argued that the decisive feature of the first-mentioned ‘deviant men’ was their status as gender-crossers (which as a side-effect entailed an interest in homosexual conduct), whereas the modern term homosexual does not necessarily suggest gender-crossing or more generic ‘sexual inversion’ (cf. Chauncey, 1994). However, allusions to gay men's purported effeminacy and lesbian women's purported masculinity continue to surface frequently also in contemporary culture. Hence, for the sake of brevity, I here use the term modern homosexual, by which I refer to a notion that there is in some people an inherent sexual desire exclusively for persons of the same sex, and that this so-called sexual orientation is to some degree intertwined with a tendency to gender-crossing conduct.
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Hetherington, Renée, and Robert G. B. Reid. "Malacological insights into the marine ecology and changing climate of the late Pleistocene – early Holocene Queen Charlotte Islands archipelago, western Canada, and implications for early peoples." Canadian Journal of Zoology 81, no. 4 (April 1, 2003): 626–61. http://dx.doi.org/10.1139/z03-024.

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The first intertidal species to colonize the Queen Charlotte Islands archipelago along the northeastern Pacific margin of Canada after the last glacial maximum (LGM) was Macoma nasuta at 13 210 ± 80 14C years BP. Prior to this time, molluscs were likely excluded where grounded ice extended from the 2 km thick Cordilleran ice sheet on mainland British Columbia. Low water temperatures, high sedimentation rates, high turbidity, dilution, and low primary productivity limited invertebrate colonization subsequent to the LGM, a period of rapid sea-level and climate change. As an adult, M. nasuta is a facultative deposit-suspension feeder that tolerates high turbidity and lowered salinity, and its pediveligers and early juveniles must also have been able to survive these conditions. Subsequently, in addition to M. nasuta, Macoma irus (inquinata), Saxidomus giganteus, Protothaca staminea, Protothaca tenerrima, Hiatella pholadis, Clinocardium nuttallii, and Mytilus trossulus constituted a typical intertidal bivalve assemblage. These findings are explained in terms of the physiology, feeding mechanisms, development, and sediment preferences of living molluscs. The disappearance of most bivalve species between ~11 000 and 10 000 14C years BP indicates the onset of a short interval of low sea-surface temperatures coincident with the Younger Dryas cooling event. Some cold-hardy species persisted, including Clinocardium californiense, Mya truncata, and Serripes groenlandicus. Bivalve species not previously reported as Pleistocene fossils were collected in sediments dating older than 10 000 14C years BP. They include Macoma incongrua, Musculus taylori, Mytilimeria nuttallii, and Tellina nuculoides. Fossil assemblages of intertidal molluscs are used to map ancient shorelines and indicate which species were available as a subsistence resource for early peoples from at least 13 210 ± 80 14C years BP. Intertidal food biomass densities may have reached present commercially harvested levels on southern Moresby Island by 8800 ± 70 14C years BP and on northern Graham Island by 8990 ± 50 14C years BP. When early peoples might have been migrating along the littoral zone, the molluscan productivity of the outer coast was much higher than it is at present.
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Holck, Per. "The oseberg ship burial, Norway: new thoughts on the skeletons from the grave mound." European Journal of Archaeology 9, no. 2-3 (2006): 185–210. http://dx.doi.org/10.1177/1461957107086123.

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In 1904, a Viking Age ship was found and excavated in Oseberg, on the west side of the Oslo Fjord, south of Oslo, Norway. The skeletal remnants of two females buried onboard were anthropologically examined during the inter-war years. Questions surrounding their identities have prompted much speculation, and many people like to believe that one of the women could be Queen Åsa, the grandmother of Norway's first king. When the skeletons were reburied in 1948, a few smaller pieces were held back and stored in the Anatomical Institute at the University of Oslo. Those fragments have now been radiocarbon dated at 1220±40 and 1230±40 BP. Their similar δ13 = −21.6‰/−21.0‰ indicates that they both were nourished by a diet consisting primarily of terrestrial food and only to a lesser degree by fish. To answer the question of whether the two women were related, Dr Tom Gilbert at the Panum Institute in Copenhagen managed to obtain a DNA profile from the younger of the two, which profile indicates that her sample falls into the haplogroup U7. This finding is interesting, as this haplogroup is nearly absent in modern Europeans but is common in Iranians. Perhaps this could mean that the young lady's ancestors came from the district around the Black Sea, as Snorri Sturlusson notes in his Saga. Unfortunately, the bones from the older woman were too contaminated to provide a clear profile. Because there is reason to fear that the reburied skeletal material will slowly disintegrate in the coffins, some scholars desired that the mound be reopened in order to save the remains and to determine whether it is possible to obtain another DNA profile before such an opportunity is lost.
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Krasikov, Mykhailo. "THE SUCCESSION OF TRADITIONS: THE SNAKE IN THE BELIEFS AND CUSTOMS OF THE HUTSULS OF RAKHIV REGION (ACCORDING TO MATERIALS GATHERED IN THE FIELDS)." Scientific Herald of Uzhhorod University. Series: History, no. 1 (44) (June 27, 2021): 206–23. http://dx.doi.org/10.24144/2523-4498.1(44).2021.232543.

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The article is based on the materials recorded by the author in Rakhiv district of the Zakarpattya region in 2017. It has been systematized and analyzes the beliefs and customs of residents regarding the actions against snakes. These records are compared with a regional, an all-Ukrainian, and an all-Slavic context. Observing an extreme prevalence of ancient beliefs and rituals associated with snakes, the author sees the reasons for the establishment of this tradition in the region first and foremost in connection to the people (even the residents of small urban settlements) who live here and in the previous centuries had been in constant contact with the local natural environment. At the same time, they used their natural resources for life (gardens, orchards, forests, mountains, meadows, etc.) and came across reptiles. Secondly, despite the modernization impacts in the Zakarpattya region, the traditional folk culture is preserved as a whole that is it is kept in the minds of the majority of the population (at least of middle-aged and older ages) calendar holidays stay relevant with their complex beliefs and rituals, archaic and pagan, but strictly adapted to Christian realities (a phenomenon of the so-called «folk Christianity»). The author draws attention to apotropaic magical actions and disallowance of specific actions during holidays (primarily Christmas, Annunciation, Exaltation holidays) aimed at avoiding contact with snakes and the use of purely physical factors (including the garlic smell) to scare away reptiles. The proper attention is also paid to the beliefs about the Queen of snakes (with a crown on her head) and the algorithm of actions of those who want to become rich. Folk conceptions of a «magic wand» that becomes as such if a person manages to save a frog from the jaws of a snake have also been analyzed. The article also throws light on a domestic adder snake – the «owner of a house» which in no case can be killed even if it sucks milk from a cow. The range of meanings of the image of a snake considering the folk dream interpretation tradition has also been given in the article.
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Ali, Amira Mohammed, and Hiroshi Kunugi. "Apitherapy for Age-Related Skeletal Muscle Dysfunction (Sarcopenia): A Review on the Effects of Royal Jelly, Propolis, and Bee Pollen." Foods 9, no. 10 (September 25, 2020): 1362. http://dx.doi.org/10.3390/foods9101362.

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The global pandemic of sarcopenia, skeletal muscle loss and weakness, which prevails in up to 50% of older adults is increasing worldwide due to the expansion of aging populations. It is now striking young and midlife adults as well because of sedentary lifestyle and increased intake of unhealthy food (e.g., western diet). The lockdown measures and economic turndown associated with the current outbreak of Coronavirus Disease 2019 (COVID-19) are likely to increase the prevalence of sarcopenia by promoting sedentarism and unhealthy patterns of eating. Sarcopenia has multiple detrimental effects including falls, hospitalization, disability, and institutionalization. Although a few pharmacological agents (e.g., bimagrumab, sarconeos, and exercise mimetics) are being explored in different stages of trials, not a single drug has been approved for sarcopenia treatment. Hence, research has focused on testing the effect of nutraceuticals, such as bee products, as safe treatments to prevent and/or treat sarcopenia. Royal jelly, propolis, and bee pollen are common bee products that are rich in highly potent antioxidants such as flavonoids, phenols, and amino acids. These products, in order, stimulate larval development into queen bees, promote defenses of the bee hive against microbial and environmental threats, and increase royal jelly production by nurse bees. Thanks to their versatile pharmacological activities (e.g., anti-aging, anti-inflammatory, anticarcinogenic, antimicrobial, etc.), these products have been used to treat multiple chronic conditions that predispose to muscle wasting such as hypertension, diabetes mellitus, cardiovascular disorder, and cancer, to name a few. They were also used in some evolving studies to treat sarcopenia in laboratory animals and, to a limited degree, in humans. However, a collective understanding of the effect and mechanism of action of these products in skeletal muscle is not well-developed. Therefore, this review examines the literature for possible effects of royal jelly, bee pollen, and propolis on skeletal muscle in aged experimental models, muscle cell cultures, and humans. Collectively, data from reviewed studies denote varying levels of positive effects of bee products on muscle mass, strength, and function. The likely underlying mechanisms include amelioration of inflammation and oxidative damages, promotion of metabolic regulation, enhancement of satellite stem cell responsiveness, improvement of muscular blood supply, inhibition of catabolic genes, and promotion of peripheral neuronal regeneration. This review offers suggestions for other mechanisms to be explored and provides guidance for future trials investigating the effects of bee products among people with sarcopenia.
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Chazan, May, and Melissa Baldwin. "Queering generativity and futurity: LGBTQ2IA+ stories of resistance, resurgence, and resilience." International Journal of Ageing and Later Life, August 17, 2021, 1–30. http://dx.doi.org/10.3384/ijal.1652-8670.1574.

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A preoccupation with heteronormative metrics of success in aging leaves many studies of “LGBT aging” focused on the needs, failings, and vul­nerabilities of older LGBTQ2IA+ people (i.e. lesbian, gay, bisexual, trans, queer, two-spirit, intersex, asexual, and people of other nonnormative sexual and gender expressions). As a result, LGBTQ2IA+ olders are fre­quently depicted as isolated, re-closeted, or simply nonexistent. Heeding calls to intervene into such bleak and pathologizing portrayals of queer/ trans aging (e.g. Ramirez-Valles 2016; Sandberg & Marshall 2017), this article explores diverse subjectivities, nonnormative aging experiences, and their potential intergenerational implications. It draws on stories of queerness, gender, aging, futurity, and social change from 13 LGBTQ2IA+ people ranging in age from 23 to 74, recorded in an intergenerational research-generation workshop held in Nogojiwanong (Peterborough, Canada) in 2018. This article argues that queer and trans stories are crucial to confronting the erasure of LGBTQ2IA+ aging, aiming to extend ongoing efforts within aging studies to queer concepts of successful aging, aging futures, generativity, and intergenerationality. Ultimately, this article aims to complicate constricted understandings of queer/trans aging, instead of depicting LGBTQ2IA+ people aging with connection, pride, learning, and purpose, as well as with struggle and vulnerability.
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Siverskog, Anna. "Heteronormative silences and queer resistance in queer people’s experiences of eldercare and home." Sexualities, October 31, 2023. http://dx.doi.org/10.1177/13634607231212810.

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The meaning of home for queer people has been widely empirically explored as well as theorized. Not least has the home been important for the older generations of queer people, who lived in times where their sexualities and gender identities have been criminalized and pathologized and where there have been few public meeting places historically. However, having care needs may blur the lines between private and public and complicate notions of integrity in one’s home. This article is based on qualitative interviews and aims to explore experiences of queer people in a Swedish context who have eldercare services—either people who have home-care-services or who are living in care homes. A queer theoretical framework and reflexive thematic analysis was used. The results illustrate how there is a silence around gender and sexuality in the everyday life within eldercare. This in turn is caused by material conditions where downsizing and effectivization of the eldercare have created pressed working conditions that leave little room for small talk between staff and recipients of care. Norms on age, gender, and sexuality with notions on older people as asexual (as well as cisgender and straight) may play into this silence as well. The boundaries between the private (home) and the public (eldercare) become blurred. This in turn conditions which intimacy practices that become im/possible. Simultaneously, there is a presence of queer resistance as well as of longings for other (queer) futures.
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Faas, A. J., Simon Jarrar, and Noémie Gonzalez Bautista. "Aging queer in a pandemic: intersectionalities and perceptions." Disaster Prevention and Management: An International Journal, March 1, 2022. http://dx.doi.org/10.1108/dpm-06-2021-0196.

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PurposeThe purpose of this study is to highlight the experiences and issues of an overlooked demographic: older LGBTQ + adults in the US, in the context of the COVID-19 pandemic. This allows the authors to explore possible changes in policy and practice regarding the management of the pandemic with attention to elderly LGBTQ.Design/methodology/approachBuilding on the authors’ experience in disaster research and a study of older LGBTQ + adults in the San Francisco Bay Area, the authors analyze key trends in COVID-19 pandemic management while drawing lessons from the AIDS epidemic.FindingsThe authors have found that LGBTQ + people, especially older and transgender individuals, have unique experiences with hazards and public safety and healthcare professionals and organizations (e.g. heteronormative care, traumatic insensitivity, deprioritizing essential treatments as elective). Second, older LGBTQ + adults' perceptions of state responses to pandemics were heavily influenced by experiences with the HIV/AIDS pandemic. And third, experiences with the COVID-19 pandemic have important implications for preventing, responding to and recovering from future epidemics/pandemics.Originality/valueThe authors point to two parallel implications of this work. The first entails novel approaches to queering disaster prevention, response and recovery. And the second is to connect the management of the COVID-19 pandemic to the principles of harm reduction developed by grassroots organizations to suggest new ways to think about contagion and organize physical distancing, while still socializing to take care of people’s physical and mental health, especially the more marginalized like elderly LGBTQ + people.
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Hyde, Christian, and Collin O'Connor. "The Effect of Intersectionality on Bisexual People’s Connection to Queer Characters." Journal of Student Research 10, no. 4 (June 10, 2022). http://dx.doi.org/10.47611/jsrhs.v10i4.2205.

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In recent years, LGBTQ representation has surged in entertainment media. While this is important for many reasons, seeing other queer characters in movies and TV shows is known to cause a positive emotional response and a connection of the person to that character. While this phenomenon has been well studied, there is no information on how additional shared identities affect connection. This paper delves into how intersectionality places a role in the connection that bisexual people have towards queer characters in entertainment media. It uses the narrative method to assess the personal experiences of bisexual people of varying races, ages, and genders to the extent that one's race, age, or gender aligning with that of a queer character affects their connection to that character. Bisexual people were interviewed about their general connection to queer characters and then were asked to what extent would that character’s race, age, or gender aligning with their own would affect their connection. The results revealed that more marginalized races and gender identities experienced stronger connections to the characters when their race or gender aligned with the characters. Additionally, age was found to be more of a factor for youth than it was for older people. The research concluded that intersecting marginalized identities strengthened one’s emotional connection to queer characters more than common racial or gender identities.
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Moore, Alison, and Paul Reynolds. "Against the Ugliness of Age: Towards an Erotics of the Aging Sexual Body." interalia: a journal of queer studies, 2016, 88–105. http://dx.doi.org/10.51897/interalia/lrjz7417.

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Within the heteronormative construction, older people are positioned as asexual, post-sexual or predatory on young bodies. Ageist assumptions deny their sexual desires exist at all or, if they are acknowledged, frame them within pathological medical, sexological and cultural discourses that characterize older sexual agency as grotesque, ugly, unattractive and sexually undesirable. These normative constructions have a negative impact on older sexual subjectivities. This article begins to develop a constructive representational form – or erotics - of aging sex and sexuality. Queer, as a deconstructionist, anti-foundational and anti-essential perspective, would seem the most prominent means by which to challenge pathologies of the ageing body and ageing sexuality. However, this discussion will suggest that there is both scope and limitations with regards to the ability of Queer critiques to undermine ageist erotophobia. Whilst queer proposes that we are free to construct and reconstruct our sexuality in multiple ways, our changing subjectivities are not just experienced emotionally and intra-psychically but are also bounded by our physicality. Our ageing corporeality prevents a constant and continuous reinvention of the sexual self. This does not preclude an erotics of age that -moves away from genito-centric and heteronormative/ homonormative constructions of sexuality and open up the potential for an erotic aged sex and sexual intimacy.
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Miller, Lisa R. "Queer Aging: Older Lesbian, Gay, and Bisexual Adults’ Visions of Late Life." Innovation in Aging, March 2, 2023. http://dx.doi.org/10.1093/geroni/igad021.

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Abstract Background and Objectives Diversity in aging has received increased attention in recent years in the field of gerontology. However, older lesbian, gay, and bisexual (LGB) people have largely been missing from these conversations. In this study, I examine older LGB people’s subjective views on the aging process, focusing specifically on visions of late life. Research Design and Methods Life story interviews were conducted with 60 LGB individuals over the age of 55 who reside in the Southeastern and Midwestern portions of the United States. Inductive coding (e.g., line-by-line, focused) and analyses were conducted. Results Four major themes emerged from the data: (1) financial distress linked to past events of homophobic discrimination, (2) anxieties regarding staying in paid care settings, (3) desires to age in place or “in community” with other LGBTQ people, and (4) a prioritization of quality of life over longevity via plans to pursue assisted suicide. Discussion and Implications The findings of this study suggest that views of aging and visions of late life are tied to social group membership, highlighting the need for gerontologists to further consider cumulative inequality processes. The study also offers evidence of queer aging, wherein queer culture, history, and experience produce distinct meanings of aging.
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Willis, Paul, Brian Beach, Jillian Powell, Alex Vickery, Alisa Cameron, and Randall Smith. "“There isn't anybody else like me around here”: the insider-outsider status of LGBT residents in housing with care schemes for older people." Frontiers in Sociology 8 (May 18, 2023). http://dx.doi.org/10.3389/fsoc.2023.1128120.

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The intersections between aging, social minority status and housing needs in later life is a neglected area of sociological exploration, even more so for older people who identify as lesbian, gay, bisexual and trans (LGBT). Recent sociological findings indicate that older LGBT people in housing schemes stress the importance of bonding social capital and look to other people in their social networks who reflect their identities and experiences as sources of support. In this paper, we examine the insider-outsider status occupied by older LGBT residents living in housing schemes that provide some form of care and support, for example extra care and independent living schemes. We present qualitative findings generated from a mixed-methods study of social inclusion practices in housing with care in England and Wales (UK) (2019-22). In this study 15 LGBT residents participated in semi-structured interviews (55–79 years of age) across a total of 31 interviews. Through a queer gerontological lens we examine how older LGBT people are socially situated within mainstream housing schemes in which they experience partial visibility while also encountering exclusionary pressures that locate them as “the other.” This insider-outsider status undermines the premise of housing with care schemes to provide safe, secure spaces to grow old. We discuss three core themes: (1) how LGBT residents navigate their outsider status in scheme life and how the intersection of disability and minority status amplifies this social location; (2) the exclusionary practices exercised by other residents that reinforce boundaries of sexual and gender normalcy; and, (3) the heightened importance of maintaining external social connections among LGBT residents. We conclude by introducing an alternative notion of marginal aging and expanding on the implications for housing providers, reflecting on their responsibilities for promoting and maintaining queer-friendly environments.
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Stinchcombe, Arne, Katherine Kortes-Miller, and Kimberley Wilson. "“We Are Resilient, We Made It to This Point”: A Study of the Lived Experiences of Older LGBTQ2S+ Canadians." Journal of Applied Gerontology, January 24, 2021, 073346482098489. http://dx.doi.org/10.1177/0733464820984893.

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Promoting health and well-being for older adults is a priority among many jurisdictions worldwide. Canada’s population is aging and becoming increasingly diverse; one axis of a diverse aging population is aging members of lesbian, gay, bisexual, transgender, queer, and two-spirit (LGBTQ2S+) communities. We sought to examine the lived experiences of older LGBTQ2S+ people in Canada to understand the barriers and facilitators to healthy aging among members of these communities. A total of 10 focus groups were held in 10 cities from across Canada. Sixty-one older LGBTQ2S+ people (Mean age = 67) participated in the study. Data were analyzed using a constructivist grounded theory approach. Through analysis, we identified themes related to the importance of community capacity, resources, resilience, and personal histories in shaping aging experiences. The findings highlight the importance acknowledging diverse sexual and gender identities and the role of the life course in developing and implementing approaches that promote healthy aging.
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Liang, Calvin, Jevan Alexander Hutson, and Os Keyes. "Surveillance, stigma & sociotechnical design for HIV." First Monday, September 10, 2020. http://dx.doi.org/10.5210/fm.v25i10.10274.

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Online dating and hookup platforms have fundamentally changed people’s day-to-day practices of sex and love — but exist in tension with older social and medicolegal norms. This is particularly the case for people with HIV, who are frequently stigmatized, surveilled, ostracized, and incarcerated because of their status. Efforts to make intimate platforms “work” for HIV frequently focus on user-to-user interactions and disclosure of one’s HIV status but elide both the structural forces at work in regulating sex and the involvement of the state in queer lives. In an effort to foreground these forces and this involvement, we analyze the approaches that intimate platforms have taken in designing for HIV disclosure through a content analysis of 50 current platforms. We argue that the implicit reinforcement of stereotypes about who HIV is or is not a concern for, along with the failure to consider state practices when designing for data disclosure, opens up serious risks for HIV-positive and otherwise marginalized people. While we have no panacea for the tension between disclosure and risk, we point to bottom-up, communal, and queer approaches to design as a way of potentially making that tension easier to safely navigate.
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"3.O. Workshop: Structural stigma shapes LGBTQ+ mental health and well-being across countries." European Journal of Public Health 32, Supplement_3 (October 1, 2022). http://dx.doi.org/10.1093/eurpub/ckac129.192.

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Abstract Lesbian, gay, bisexual, transgender and queer (LGBTQ+) people around the world have been shown to suffer from disparities in mental health and well-being relative to cisgender heterosexual people. Past research aiming to explain these gaps has referenced the added stress experienced by LGBTQ+ people in the form of, for example, interpersonal discrimination, rejection, and harassment (i.e., minority stress). While these phenomena exist at the interpersonal level, emerging evidence suggests that discriminatory structural-level factors, such as policies, norms and rules (i.e., structural stigma), may be just as influential in shaping LGBTQ+ mental health and well-being. Given the passage of a slate of bills limiting sexual and gender minority rights and banning open speech around these issues across many different countries, this is an extremely timely issue for sexual and gender minority health. This workshop will give examples of cutting-edge research on the ways in which structural stigma affects mental health and well-being for LGBTQ+ people. Dr. Dinah Gutermuth (University of Exeter, UK) will discuss findings from a global study (conducted in partnership with the BBC) including older and younger LGB individuals from 113 different countries, showing that structural stigma impairs social capital and creates disparities in loneliness between younger and older LGB individuals. Berk Can Ünsal (Eötvös Loránd University, Hungary) will present data from Europe highlighting structural stigma as a risk factor, and community participation as a protective factor, for depression in sexual and gender minority people. Dr. John Pachankis (Yale University, USA) will present results on how migration from countries of varying levels of structural stigma shapes depression and suicidality in sexual minority men. Finally, Dr. Richard Bränström (Karolinska Instituet, Sweden), will discuss how average life satisfaction improved from 2012-2019 for sexual minority people across Europe, with greater increases in countries with higher levels of structural stigma. Together, these presentations will demonstrate the far-reaching effects of structural stigma on LGBTQ+ mental health and well-being around the world. Key messages • Lesbian, gay, bisexual, transgender and queer (LGBTQ+) people around the world have been shown to suffer from disparities in mental health and well-being relative to cisgender heterosexual people. • Structural stigma is an important factor determining risk for poor mental health among LGBTQ+ individuals across countries.
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Ussher, Jane M., Kimberley Allison, Janette Perz, and Rosalie Power. "LGBTQI cancer patients’ quality of life and distress: A comparison by gender, sexuality, age, cancer type and geographical remoteness." Frontiers in Oncology 12 (September 20, 2022). http://dx.doi.org/10.3389/fonc.2022.873642.

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BackgroundThere is growing acknowledgement of the psycho-social vulnerability of lesbian, gay, bisexual, transgender, queer and/or intersex (LGBTQI) people with cancer. The majority of research to date has focused on cisgender adults with breast or prostate cancer.Study AimThis study examined psycho-social factors associated with distress and quality of life for LGBTQI cancer patients and survivors, across a range of sexualities and gender identities, intersex status, tumor types, ages and urban/rural/remote location using an intersectional theoretical framework.Method430 LGBTQI people with cancer completed an online survey, measuring distress, quality of life (QOL), and a range of psycho-social variables. Participants included 216 (50.2%) cisgender women, 145 (33.7%) cisgender men, and 63 (14.7%) transgender and gender diverse (TGD) people. Thirty-one (7.2%) participants reported intersex variation and 90 (20%) were adolescents or young adults (AYA), aged 15-39. The majority lived in urban areas (54.4%) and identified as lesbian, gay or bisexual (73.7%), with 10.9% identifying as bisexual, and 10.5% as queer, including reproductive (32.4%) and non-reproductive (67.6%) cancers.ResultsForty-one percent of participants reported high or very high distress levels, 3-6 times higher than previous non-LGBTQI cancer studies. Higher rates of distress and lower QOL were identified in TGD compared to cisgender people, AYAs compared to older people, those who identify as bisexual or queer, compared to those who identify as lesbian, gay or homosexual, and those who live in rural or regional areas, compared to urban areas. Elevated distress and lower QOL was associated with greater minority stress (discrimination in life and in cancer care, discomfort being LGBTQI, lower outness) and lower social support, in these subgroups. There were no differences between reproductive and non-reproductive cancers. For the whole sample, distress and poor QOL were associated with physical and sexual concerns, the impact of cancer on gender and LGBTQI identities, minority stress, and lack of social support.ConclusionLGBTQI people with cancer are at high risk of distress and impaired QOL. Research and oncology healthcare practice needs to recognize the diversity of LGBTQI communities, and the ways in which minority stress and lack of social support may affect wellbeing.
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Byer, Lennox, Casey Orozco‐Poore, and Nicole Rosendale. "Limitations and Future Directions in Sex, Sexuality and Gender Diverse Research in Neurology." Annals of Neurology, December 19, 2023. http://dx.doi.org/10.1002/ana.26863.

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Sex, sexuality and gender diversity (SSGD) is understudied and underserved in neurology. Neurology research inclusive of LGBTQIA+ (lesbian, gay, bisexual transgender, queer, intersex, asexual) people is limited. Existing research struggles with paucity of neurology studies collecting SSGD data, conflation of sex and gender, lack of precision in measures, neglect of younger and older populations, nebulous benefit to community, and absent intersectionality. Future directions in SSGD neurology research include precise and community‐based measurements, respect for LGBTQIA+ colleagues, and the application of minority stress models. All patients stand to benefit from research which elucidates how SSG variables influence neurological health.This article is protected by copyright. All rights reserved.
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Diamant-Wilson, Roni, Meagan Ray-Novak, Braveheart Gillani, Dana M. Prince, Laura J. Mintz, and Scott Emory Moore. "“I felt like a freak when I would go to the doctor”: Investigating healthcare experiences across the lifespan among older LGBT and transgender/gender diverse adults." Qualitative Research in Medicine and Healthcare 8, no. 1 (April 4, 2024). http://dx.doi.org/10.4081/qrmh.2024.11879.

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In the past several decades, the United States has enacted civil rights legislation protecting lesbian, gay, bisexual, transgender, and queer (LGBTQ) populations from discrimination, including enacting proactive healthcare laws such as the Affordable Care Act. However, given today’s divisive politics, LGBTQ people’s access to appropriate and respectful health care is precarious. This study explored the disconnections from and connections to health care and the respective health effects among two self-identified groups: i) older LGBT adults and ii) transgender and gender-diverse (TG/GD) adults. Using a life course perspective, qualitative data from 17 older LGBT and TG/GD participants were analyzed. Thematic and content analyses indicated that despite progress made, discrimination and prejudice in obtaining health care persist, particularly among TG/GD people of color. The results highlight the ongoing challenges LGBTQ populations face as they risk being denied care by healthcare providers and disconnected from the healthcare system.
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Kratzer, Tyler B., Jessica Star, Adair K. Minihan, Priti Bandi, N. F. N. Scout, Monique Gary, Latonya Riddle‐Jones, et al. "Cancer in people who identify as lesbian, gay, bisexual, transgender, queer, or gender‐nonconforming." Cancer, May 31, 2024. http://dx.doi.org/10.1002/cncr.35355.

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AbstractBackgroundIndividuals who identify as lesbian, gay, bisexual, transgender, queer, intersex, or gender‐nonconforming (LGBTQ+) experience discrimination and minority stress that may lead to elevated cancer risk.MethodsIn the absence of population‐based cancer occurrence information for this population, this article comprehensively examines contemporary, age‐adjusted cancer risk factor and screening prevalence using data from the National Health Interview Survey, Behavioral Risk Factor Surveillance System, and National Youth Tobacco Survey, and provides a literature review of cancer incidence and barriers to care.ResultsLesbian, gay, and bisexual adults are more likely to smoke cigarettes than heterosexual adults (16% compared to 12% in 2021–2022), with the largest disparity among bisexual women. For example, 34% of bisexual women aged 40–49 years and 24% of those 50 and older smoke compared to 12% and 11%, respectively, of heterosexual women. Smoking is also elevated among youth who identify as lesbian, gay, or bisexual (4%) or transgender (5%) compared to heterosexual or cisgender (1%). Excess body weight is elevated among lesbian and bisexual women (68% vs. 61% among heterosexual women), largely due to higher obesity prevalence among bisexual women (43% vs. 38% among lesbian women and 33% among heterosexual women). Bisexual women also have a higher prevalence of no leisure‐time physical activity (35% vs. 28% among heterosexual women), as do transgender individuals (30%–31% vs. 21%–25% among cisgender individuals). Heavier alcohol intake among lesbian, gay, and bisexual individuals is confined to bisexual women, with 14% consuming more than 7 drinks/week versus 6% of heterosexual women. In contrast, prevalence of cancer screening and risk reducing vaccinations in LGBTQ+ individuals is similar to or higher than their heterosexual/cisgender counterparts except for lower cervical and colorectal cancer screening among transgender men.ConclusionsPeople within the LGBTQ+ population have a higher prevalence of smoking, obesity, and alcohol consumption compared to heterosexual and cisgender people, suggesting a higher cancer burden. Health systems have an opportunity to help inform these disparities through the routine collection of information on sexual orientation and gender identity to facilitate cancer surveillance and to mitigate them through education to increase awareness of LGBTQ+ health needs.
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Duguay, Stefanie, Özgem Elif Acar, and Hannah Jamet-Lange. "DEAR BABY GAYS: INVESTIGATING THE SOCIOTECHNICAL PRACTICES OF OLDER LGBTQ+ TIKTOK USERS." AoIR Selected Papers of Internet Research, December 31, 2023. http://dx.doi.org/10.5210/spir.v2023i0.13415.

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Much scholarship and public discourse alike focus on TikTok’s widespread uptake by young people, including LGBTQ+ youth. However, LGBTQ+ people on the platform often experience challenges relating to visibility and censorship. As users of a variety of ages have joined TikTok’s youthful population, this paper explores the sociotechnical practices of older LGBTQ+ TikTok users as they emerge from, and are shaped by, the platform and its user cultures. It does so through an analysis of older LGBTQ+ TikTokers’ videos and metadata, gathered through novel methods for configuring research accounts to serve up this content to the For You page. Once the accounts were trained to deliver this content through TikTok’s personalized algorithmic curation, videos were collected for one hour per day over a duration of approximately 4 weeks for each account. Preliminary visual and textual analysis of videos indicates recurrent themes related to constructing identities that intersect age with sexual identity, giving advice, sharing about personal experiences and queer history, and circulating counter-discourses against homophobia and transphobia as well as messages of solidarity with targets of discrimination. Analysis of how these users negotiate TikTok’s affordances also indicates that platform’s features, policies, and dominant user practices permeate and shape older LGBTQ+ TikTokers’ self-representations, such that the platform and modes of paying attention to it have become a central element of their content.
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Dickson, Lexus, Samuel Bunting, Alexis Nanna, Megan Taylor, Liam Hein, and Mindi Spencer. "Appointment of a Healthcare Power of Attorney Among Older Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) Adults in the Southern United States." American Journal of Hospice and Palliative Medicine®, December 9, 2020, 104990912097978. http://dx.doi.org/10.1177/1049909120979787.

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Background: The Lesbian, Gay, Bisexual, Transgender, and Queer (LGBTQ) older adult population may have a heightened need of medical and supportive care while aging. This makes appointment of a healthcare power of attorney (HCPoA) an essential component of end-of-life care to ensure patients’ wishes are honored at the end of their lives. The objective of this study was to evaluate the prevalence and preferences for HCPoA appointment among older LGBTQ adults living in the Southern United States. Methods: An online survey was distributed to older LGBTQ adults living in the Southern US regarding appointment of a HCPoA between January-March 2018. Participants: The survey was completed by 789 older LGBTQ adults from North Carolina, South Carolina, Georgia, Alabama, Mississippi, Louisiana, and Florida in January-March 2018. Results: Overall, 61.6% of respondents had appointed a HCPoA. Respondents with an appointed HCPoA were more likely to be married (aOR = 5.04, p < .001), have larger social networks (aOR = 3.87, p < .001) and be older (aOR = 1.07, p < .001). Gender diverse respondents were less likely to have an appointed HCPoA relative to cisgender respondents (aOR = 0.39, p = .04). Overall, the majority of respondents indicated a spouse or significant other served as their HCPoA ( n = 311, 64.5%). Conclusions: Nearly 40% of older LGBTQ adults in the Southern US did not have an appointed HCPoA. Specifically, those who were more socially isolated, single, or who identified as transgender or gender non-binary were less likely to have an appointed HCPoA. These people may benefit from targeted outreach regarding advance care planning.
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