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Christiansen, Mats, Mika Handelsman-Nielsen, and Manijeh Mehdiyar. "THE GRAYING RAINBOW: TRACING LGBTQI AGING IN SCANDINAVIAN LITERATURE." Innovation in Aging 7, Supplement_1 (2023): 766. http://dx.doi.org/10.1093/geroni/igad104.2475.
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Abstract Background: There have been several international reviews about aging LGBTQI health and living conditions, but where policy, social insurance, and services differ. The Public Health Agency of Sweden was given a government assignment to review the literature on LGBTI, emphasizing Scandinavian literature. Method: This scoping review includes peer-reviewed literature published in English or Scandinavian languages from January 1, 2012, to May 2022. Literature was searched in PsycINFO, PubMed, Web of Science, CINAHL, International Bibliography of the Social Sciences (IBSS), Social Science Database, Applied Social Sciences Index & Abstracts (ASSIA), and Sociological Abstracts, Sociology Database. Initially, 11,428 articles were found. After removing duplicates using Rayyan and reviewing titles and abstracts, 54 articles were read in full. After the final review, 16 articles remained. Thematic analysis was used to produce themes from the reviewed literature. Findings: The following two themes were identified: Aspects of health and Living conditions. Studies were primarily interpretive. There is a lack of studies about some subgroups of older LGBTQ people in this context; for instance, there are insufficient studies on older lesbian women and gay men. Furthermore, there is a lack of studies on somatic health for older LGBTQ people, generally. Comparatively, albeit in small samples, we better understand trans descriptions of aging than lesbian women and gay men. There were no studies found on intersex individuals. Implications: There remains a paucity of literature regarding the life and living conditions for LGBTQI older adults in Nordic countries.
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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 (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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Thomas, Ben. "Reducing health inequalities for older LGBTQ+ people." Nursing Standard 31, no. 9 (2016): 31. http://dx.doi.org/10.7748/ns.31.9.31.s28.
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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 (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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Bybee, Sara, Austin Oswald, and Vanessa Fabbre. "EMBRACING THE QUEER ART OF FAILURE IN GERONTOLOGICAL RESEARCH AND EDUCATION." Innovation in Aging 7, Supplement_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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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 (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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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 (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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Burton, Cassandra, Katherine Bridges, and Aisha Cozad. "WHAT PANDEMIC RECOVERY WILL LOOK LIKE FOR OLDER, MULTICULTURAL WORKERS." Innovation in Aging 6, Supplement_1 (2022): 256. http://dx.doi.org/10.1093/geroni/igac059.1015.
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Abstract It is no surprise to many that the impact of Covid-19 on older adults, particularly LGBTQ and people of color has been detrimental, not just physically, but mentally, socially, and economically. Many African American/Black adults have suffered disproportionately during the pandemic. In terms of Social Security more than nine in 10 (93%) older Black Americans report that having adequate Social Security benefits is important, but for the many who were forced to retire early due to the pandemic, they will be at a disadvantage. LGBTQ older adults experience persistent discrimination due to sexual orientation or gender identity. When the LGBTQ individual was African American/Black, experiences of discrimination were higher and often occurred in the workplace. These forms of discrimination are directly impacts ones earning potential both during active work years and in retirement savings. AARP has a long history of being an advocate for marginalized and vulnerable adults. AARP staff will discuss policy needs and what the post pandemic workplaces needs to ensure that older LGBTQ people can thrive in the workplace with dignity and respect. The 2021 AARP’s Vital Voices research will be used to showcase the economic impact the pandemic has had on older adults, African American communities, Hispanic/Latino communities, Asian Pacific Islander communities and LGBTQ communities. AARP staff will discuss strategies and tactics needed to ensure that opportunities for economic recovery for older adults. The survey gathers information to gauge opinions on a range of topics as well as breaking and current issues.
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Emlet, Charles, and Karen Fredriksen Goldsen. "Innovative Population and Intervention Research for LGBTQ+ Older Adults With Dementia in a COVID World." Innovation in Aging 5, Supplement_1 (2021): 111. http://dx.doi.org/10.1093/geroni/igab046.425.
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Abstract This past year, the lives of vulnerable older adults, including those within the older LGBTQ+ community have been disrupted dramatically, as has the research agendas designed to improve their lives. Older people, including LGBTQ+ older adults with dementia, have been placed at increased risk for social isolation and mental health issues during COVID, making viable interventions even more crucial. Additionally, how research is conducted within these communities needed to be adjusted in order to preserve viability. This symposium draws upon data from the National Health Aging and Sexuality/Gender study, the first longitudinal study of LGBTQ+ older adults in the United States, as well as data from Aging with Pride: IDEA (Innovations in Dementia Empowerment and Action), the first randomized controlled trial (RCT) designed to improve quality of life of LGBTQ+ adults living with dementia and their care partners. (1) Kim and Fredriksen Goldsen examine modifiable behavioral and social factors that can improve quality of life among LGBTQ+ older adults with cognitive impairment. (2) Fredriksen Goldsen, Teri, Emlet and colleagues present initial efficacy findings from the IDEA study and how the intervention needed to be altered to be viable in a COVID world. (3) The importance of Motivational Interviewing (MI) as part of a LGBTQ+ sensitive intervention designed for LGBTQ+ older adults with dementia and their care partners is discussed by Petros, Fredriksen Goldsen and Teri. As COVID continues to impact vulnerable populations as well as research and service delivery, identifying new and innovative strategies will become increasingly important.
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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 (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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Oswald, Austin, and Vanessa Fabbre. "Applied Scholarship in LGBTQ Aging: Implications for Policy and Practice." Innovation in Aging 4, Supplement_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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Harper, Philip. "How healthcare professionals can support older LGBTQ+ people living with dementia." Nursing Older People 31, no. 5 (2019): 16–21. http://dx.doi.org/10.7748/nop.2019.e1115.
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Navales, Bhrendelyn B., Elizabeth R. Dumlao, and Nerisa B. Abug. "An Inquiry to the Working Environment Inclusivity among LQBTQ Members: A Multi-Level Mixed Design Models." International Journal of Business, Technology and Organizational Behavior (IJBTOB) 3, no. 4 (2023): 307–27. http://dx.doi.org/10.52218/ijbtob.v3i4.285.
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Social identities are significant in many facets of life since they aid in self-definition and influence how people interact with one another. Today's workforce needs more diversity and complete inclusion, despite apparent corporate backing and indications of advancement. Similarly, despite a rising commercial case for inclusiveness, the LGBTQ+ group has not seen significant advancements in the workplace. Therefore, this study aimed to ascertain whether LGBTQ employees in Cavite now work in an inclusive atmosphere. In order to investigate and comprehend the workplace acceptance of LGBTQ employees, the study used a mixed research approach. Most of the volunteers were between the ages of 25 and 34, single, recent graduates of a trade school, and served for two to three years at work. This suggested that older millennials made up the majority of the participants. The majority of participants agreed that they felt an inclusive work environment facilitated their professional development. The majority of the literature emphasizes management's dominance and commitment to advancement as key reasons why LGBTQ employees stay at their place of employment. In addition, the multilevel analysis with parallel segments for understanding the working environment among LGBTQ members serves as a framework for developing strategies for the inclusion and diversity of LGBTQ employees in the workplace. It was revealed that the inclusion of LGBTQ members in the workplace had no discernible dynamic effect on their profile. Hence, the study recommends strategies to further foster workplace inclusion.
 Keywords: gender, LGBT, inclusivity, social identity, workplace, mixed design
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Flohr, Charleigh, and Cassandra Burton. "Descriptive Evidence of COVID-19’s Impact on Black LGBTQ Adults Amidst Ongoing Health Inequities." Innovation in Aging 5, Supplement_1 (2021): 1030–31. http://dx.doi.org/10.1093/geroni/igab046.3686.
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Abstract Black LGBTQ people significant challenges and discrimination as they face the barriers of living at the intersection of multiply marginalized identities, which have worsened during the coronavirus pandemic. At a baseline, LGBTQ people exhibit elevated risk of being negatively impacted by the pandemic across health, economic and other social outcomes (Cahill et al., 2020; Heslin & Hall, 2021; Human Rights Campaign, 2020). Black LGBTQ people have also suffered significant economic losses (Human Rights Campaign Foundation, 2020) . Methods: The Human Rights Campaign Foundation and AARP supported and partnered with Community Marketing & Insights to conduct a survey of 1,815 Black LGBTQ adults in the United States. The online survey was fielded between September 21 and October 30, 2020. Many Black LGBTQ adult participants report healthcare discrimination in the last three years, with 19% reporting racial discrimination and 11% reporting sexual orientation-based discrimination. Furthermore, 31% of Black transgender adults report healthcare discrimination in the last three years. Preventing or treating COVID-19 is an important health concern to 67% of Black LGBTQ adults aged fifty-five and older, 63% of Black LGBTQ adults aged thirty-five to fifty-four and 53% aged eighteen to thirty-four. Overall, Black LGBTQ adults report being significantly impacted by the pandemic, including negative impacts on their social health (60%), mental health (44%), the physical health of their close friends and family (33%), their finances (30%), and their employment status (22%). Overall, one-quarter (25%) of Black LGBTQ adults had at least one close friend or family member die from coronavirus illness.
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Betts, David, Jane Maidment, and Nikki Evans. "Hidden and ignored: Older sexual and gender minorities in New Zealand." Social Work and Social Sciences Review 21, no. 1 (2020): 94–109. http://dx.doi.org/10.1921/swssr.v21i1.1368.
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This article explores the experiences of a frequently ignored and underrepresented population in social work research – older sexual and gender minorities. Reporting on findings from a larger research project with older LGBTQ+ people in New Zealand, thirty-one participants between the ages of 60 and 80 were interviewed about their experiences of social connectedness, stigma, and discrimination. Findings highlight that older sexual and gender minorities were twice made invisible. They felt excluded by mainstream society based on their age, as well as their sexual and gender identities. Implications include a need to incorporate intersectional perspectives when working with both older adults and members of the LGBTQ+ community. Social work practitioners also need to consider the multifaceted and compounding identities of their clients with diverse experiences.Keywords: sexual and gender minorities; older adults; New Zealand; invisibility; social work
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Burton, Cassandra, Aisha Cozad, and Katherine Bridges. "WHAT PANDEMIC RECOVERY WILL LOOK LIKE FOR OLDER, MULTICULTURAL WORKERS." Innovation in Aging 6, Supplement_1 (2022): 256. http://dx.doi.org/10.1093/geroni/igac059.1016.
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Abstract AARP has a long history of being an advocate for marginalized and vulnerable adults. AARP staff will discuss policy needs and what the post pandemic workplaces needs to ensure that older LGBTQ people can thrive in the workplace with dignity and respect. The 2021 AARP’s Vital Voices research will be used to showcase the economic impact the pandemic has had on older adults, African American communities, Hispanic/Latino communities, Asian Pacific Islander communities and LGBTQ communities. AARP staff will discuss strategies and tactics needed to ensure that opportunities for economic recovery for older adults. The survey gathers information to gauge opinions on a range of topics as well as breaking and current issues. Among other issues, it explores concerns about racism and experience with age discrimination and employment experience among older adults.
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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 (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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Thomas, Michael, Amy Prescott, and Christina Victor. "OLDER LGBTQ+ PEOPLE’S PERSPECTIVES ON DISCRIMINATION AND AGEING IN THE UK: EMERGING FINDINGS FROM A TIMELINE STUDY." Innovation in Aging 7, Supplement_1 (2023): 1172. http://dx.doi.org/10.1093/geroni/igad104.3758.
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Abstract This paper presents emerging findings from a United Kingdom study of socially inclusive ageing, reporting on timeline interviews with a sample of 25 LGBTQ+ people aged forty years and above, carried out during summer and fall of 2023. The research interrogates older LGBTQ+ people’s understanding of the impact of minority sexuality and gender identity on their lived experience and the ways in which this impacts their approach to challenges and opportunities linked to ageing. We draw on an innovative methodological approach, adapting Adriansen’s (2012) timeline interview method to fit the needs of older participants. Timeline interviews provide an approach to life-story research that structures a conversation around a written timeline, produced on paper during unstructured qualitative interviews. During the paper presentation we share anonymised timeline and narrative data highlighting milestones in individual biographies. We focus on moments and periods where sexuality and gender identity may have been a positive factor in individual life stories (romantic relationships, community membership) or have been seen as more problematic (discrimination, stigma and marginalisation). The timelines and associated interview data also provide opportunities to ground the biographies of older LGBTQ+ people in the context of social, cultural, political and policy contexts. The timelines reveal compelling data about ageing and identity, belonging and exclusion. Our emerging findings reflect C. Wright Mills’s concept of the sociological imagination, placing personal troubles and histories in the context of public issues. We gratefully acknowledge the funding this study has received from the United Kingdom Economic and Social Research Council.
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Barbee, Harry, and Tara McKay. "Variation in Subjective Aging Among Middle-Aged and Older LGBTQ+ People: An Exploratory Study." Innovation in Aging 5, Supplement_1 (2021): 549. http://dx.doi.org/10.1093/geroni/igab046.2109.
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Abstract Studies suggest that women and men have different experiences of subjective aging—including interpretations of age norms, timing of life course stages, and aging anxieties—but few have addressed variation within sexual and gender diverse communities. Drawing on a sample of middle-age and older LGBTQ+ people from Alabama, North Carolina, and Tennessee (n=923), we analyze how four dimensions of subjective aging (age-related self-perceptions, generalized views of aging, aging bodies, and aging anxieties) vary within the LGBTQ+ population by comparing gay and bisexual cisgender men (GBCM), lesbian and bisexual cisgender women (LBCW), and transgender, gender nonconforming, and non-binary (T/GNC/NB) people. Using multivariate regression models, we find that LBCW reported younger ideal ages, more elongated perceptions of the life course, more negative predictions of prospective health, and less aging anxiety compared to GBCM. Regarding self-perceptions and generalized views of aging, T/GNC/NB people reported younger ideal ages and more condensed perceptions of the life course compared to GBCM. Regarding perceptions of aging bodies, T/GNC/NB people reported more positive views of physical changes within the last five years and more negative predictions of prospective health compared to GBCM. Finally, T/GNC/NB people were less anxious than GBCM about future sex lives but were more anxious about not being able to support other people in the future. Overall, while some results align with studies of the general population, we find that sexual and gender diverse people may have different subjective aging trajectories, and thus experience differential physical and mental health outcomes, compared with cisgender heterosexual adults.
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Rzewnicki, Daniel I., James E. Egan, Robert W. S. Coulter, et al. "Utilization of Electronic Media to Obtain Social Support Among Older Men who have Sex with Men and Associated Support Outcomes." Annals of LGBTQ Public and Population Health 3, no. 3 (2022): 173–90. http://dx.doi.org/10.1891/lgbtq-2020-0049.
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Men who have sex with men (MSM) over 45 years of age are more likely to report loneliness and bear a disproportionate percentage of the Human Immunodeficiency Virus (HIV) disease burden than their heterosexual peers. Social support is a buffer against loneliness and is also associated with improved HIV health. To investigate the perceived social support of older MSM and the methods they used to communicate with people in their support networks, we surveyed 1,066 middle age and aging men in the Multicenter AIDS Cohort Study. We found that 24.6% of participants reported primarily communicating electronically with people in their support networks, and that these participants were more likely to be HIV-positive, to have lower social support scores, and lower support satisfaction. The findings of this study suggest that one in four older HIV-positive MSM may face barriers to obtaining social support in person, and that interventions to increase in-person support may be warranted.
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Somerville, Ceara, Saralyn Collins, and Caitlin E. Coyle. "LGBTQ PROGRAMMING AT SENIOR CENTERS IN MASSACHUSETTS." Innovation in Aging 3, Supplement_1 (2019): S157. http://dx.doi.org/10.1093/geroni/igz038.563.
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Abstract LGBTQ seniors have some different needs for programs and services, are at a higher risk of social isolation, and are often underserved in the community. Senior centers serve as a hub of resources in a community and are purposefully situated to address the needs and interests of all seniors in a community; they are a natural outlet for targeted programming for LGBTQ seniors. The purpose of this project is to demonstrate what municipal senior centers across Massachusetts are doing to meet the needs of their LGBTQ seniors. A total of 24 senior centers were identified by the Massachusetts Association of Councils on Aging (MCOA) as providing LGBTQ programming. Semi-structured interviews were conducted with 14 senior center directors or programming staff from different communities across Massachusetts to learn more about their specific programming. For almost all senior centers in this study, the main LGBTQ-specific programming was a congregate meal with an activity. Activities included both recreational activities like a film-screening and educational engagements such as guest speakers or specialists on housing, legal services, and health promotion. Distinguishing characteristics included whether or not programming had an intergenerational component, type of recruitment methods, and geographic clustering of programs. For example, two regions emerged as having shared activities for LGBTQ seniors. Results from this study will be used to illustrate models of best practice when it comes to LGBTQ programming for older people.
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Burton, Cassandra Cantave. "FACTORS CONTRIBUTING TO SOCIAL ISOLATION AMONG OLDER RURAL RESIDENTS." Innovation in Aging 3, Supplement_1 (2019): S357. http://dx.doi.org/10.1093/geroni/igz038.1297.
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Abstract AARP research finds one-third of adults age 45 and older consider themselves lonely. Analysis from the National Survey of Adults Age 45-plus on Loneliness and Social Connections will be presented. Findings indicate that sixty-one percent of respondents who have never spoken to a neighbor are lonely, compared with 33 percent who have spoken to a neighbor. Individuals earning less than $25,000, caregivers and LGBTQ people are more likely to be lonely. Moreover, the structure of one’s community also plays an important role in predicting loneliness and was significantly related to a person feeling lonely.
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Egbert, Anna, Paul Nash, Mark Brennan-Ing, and Stephen Karpiak. "Stigma Impacts Health Disparities and Inequities in LGBTQ and People of Color Aging With HIV." Innovation in Aging 5, Supplement_1 (2021): 220. http://dx.doi.org/10.1093/geroni/igab046.848.
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Abstract The impact of stigmatizing attitudes and discriminatory behaviors on health disparities and inequities in non-heterosexual individuals, people of color (PoC), older adults, and persons living with HIV becomes increasingly recognized. This quartette of stigmatized characteristics elevates the risk of barriers to medical services, burden of disease and unfavorable health outcomes in LGBTQ-PoC aging with HIV. Using data from ROAH 2.0 study (N=723), we explored facets of stigma, barriers to medical services and health status in racial/ethnic minorities of older adults with HIV (OAH) living in California, New York, and Illinois. Stigma was evident in &gt;50% of OAH who expressed reservation to self-disclose HIV status. Importantly, 20%-24% of Asian, Black/African-American, Hispanic/Latinx and Multiracial vs. 7% White OAH withheld this information from at least one health care provider. Over 10% of OAH experienced prejudice/discrimination while accessing service. Non-disclosure and prejudice/discrimination were linked to lower self-rated health status, thus, evidencing stigma-related health burden.
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Bouchard, Lauren. "FROM FAILURE TO OPPORTUNITY IN QUEERING GERONTOLOGICAL CURRICULUM." Innovation in Aging 7, Supplement_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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Chen, Ann. "A Journey of Spirituality: Effects and Perceptions of Religion Among Older LGBTQ+ People of Color." Journal of Black Sexuality and Relationships 8, no. 1-2 (2021): 63–92. http://dx.doi.org/10.1353/bsr.2021.0014.
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Siverskog, Anna. "HETERONORMATIVE SILENCES AND QUEER LONGINGS IN LGBTQ PEOPLE’S EXPERIENCES OF ELDER CARE AND HOME." Innovation in Aging 7, Supplement_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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Victor, Christina, and Isla Rippon. "LONELINESS AMONG UNDER-REPRESENTED OLDER ADULTS IN THE UK: A STUDY OF MINORITY ETHNIC AND LGBTQ+ POPULATIONS." Innovation in Aging 7, Supplement_1 (2023): 1075. http://dx.doi.org/10.1093/geroni/igad104.3453.
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Abstract Internationally loneliness has been identified as a major public health problem. Although there is a substantial body of research about loneliness in older adults in the UK, there is a significant evidence gap reporting experiences of loneliness of older people from ethnic minorities and those who identify as lesbian, gay, or bisexual and transgender (LGBT). These two groups, under-represented in UK gerontological research, are included in our recently funded project, Socially Inclusive Ageing across the Lifecourse. In this poster we explicitly focus upon the experiences of loneliness for older adults, aged 50+, from the LGBTQ+ and minority ethnic communities. Using wave 9 data from the UK Household Longitudinal Study (UKHLS/Understanding Society) we measured loneliness using the three-item UCLA scale with a score of 6+ out of 9 defining loneliness. Of our total sample of 16,805 who completed the loneliness measure, 1.5% of respondents identified as LGB and 5.4% as Asian, 2.9% as black and 1.5% as other or mixed ethnicity. Overall, 21.7% of the population aged 50+ were lonely. Participants from a black, Asian or other ethnic minority reported higher loneliness than white respondents: 25.8%, 29.6%, 31.0% and 21.0% respectively. Respondents identifying as gay or lesbian (29.1%) or as bisexual (35.2%) reported greater loneliness in comparison to those who identified as heterosexual (21.3%). Our study is novel and timely in demonstrating the higher prevalence of loneliness in two under-represented groups of older adults with the potential consequences this may have for their health and wellbeing in later life.
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Bibbo, Jessica, Sandy Branson, and Jessica Bibbo. "INTEREST GROUP SESSION—HUMAN-ANIMAL INTERACTION: PETS IN OLDER ADULTS’ SOCIAL NETWORKS: HUMAN-ANIMAL INTERACTION, INTERPERSONAL CONNECTIONS, AND HEALTHY AGING." Innovation in Aging 3, Supplement_1 (2019): S200. http://dx.doi.org/10.1093/geroni/igz038.724.
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Abstract Empirical evidence supports positive associations between social support, interpersonal connections, and health as people age. This symposium addresses how human-animal interaction may facilitate connection throughout later life. Each talk presents unique ways pets: fit into social networks; expand interpersonal connections; and thereby, impact health and wellbeing. The first talk presents longitudinal associations of a history of pet ownership and marital status on health, in particular cognitive functioning, over time. The second talk presents qualitative evidence for how pets fit into older adults’ social network and quantitative evidence for the impact of animal and interpersonal companionship on overall and functional health. The third talk builds upon the literature linking dog walking with older adults’ physical health, by providing evidence for the positive impact of dog walking improving interpersonal connections with neighbors. The fourth talk discusses the influence of a unique intergenerational human-animal interaction service-learning course on university students’ attitudes towards older adults and those with disabilities. Enrolled students provide pet care (e.g., brushing, dog walking, delivering pet food and supplies) to low-income pet owners ages 60 and older and disabled adults. Students reported decreased biases towards older adults and those with disabilities after completing the course. The final talk is the first study to focus on the influence of pets in LGBTQ older adults living in rural southern Appalachia. Identifying as a LGBTQ person and living in a rural environment can present unique challenges and these qualitative results provide insight into pets’ influence on aging in this understudied population.
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Scout, Nfn, Michelle ED Veras, Bethany Andrews Rhoten, Reece ED Lyerly, Aurea ED Kasberg, and Kk ED Naimool. "First data from OUT: The National Cancer Survey of LGBTQ+ survivors." Journal of Clinical Oncology 39, no. 15_suppl (2021): e18544-e18544. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e18544.
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e18544 Background: Cultural barriers that inhibit LGBTQ cancer care are a public health crisis. Although LGBTQ cultural competency trainings are rapidly becoming the norm, patient-centered information is lacking for healthcare professionals in cancer care. The purpose of OUT: The National Cancer Survey is to understand the experiences of LGBTQ cancer survivors in order to make cancer care a safer and more welcoming place for survivors and their support teams. Methods: Individuals age 18 or older currently living in the United States who have been previously diagnosed with cancer and who identify as LGBTQ+ were recruited via community partnerships and targeted paid social media advertisements with an oversample of media outreach to Black Indigenous and People of Color (BIPOC). Participants completed a cross-sectional web-based survey of their cancer care experiences. This resulted in a final sample of [1,600+] survivors, the largest known sample of LGBTQ+ cancer survivors in the world. The sample was weighted to adjust for U.S. sex assigned at birth and racial/ethnic demographics. Descriptive statistics were used to summarize participant responses, crosstabs were used to compare responses across demographic categories, and excerpted responses are used to highlight qualitative themes. Results: Participants ranged in age from X to X years (median X). X% of the sample identified as either gay or lesbian, X% as bi, and X% as trans or gender nonconforming. X% of the sample identified as White only, followed by X% as Latine, X% as Black and X% as other or mixed race. Most common cancer types included XYZ. When asked about welcoming care, X% of the sample reported they specifically sought an LGBTQ+ welcoming provider after diagnosis. Most common methods for finding such a provider included: X, X, and X. Most common cues that helped patients identify welcoming providers included X, X, and X. Overall X% reported receiving care in an LGBTQ+ welcoming environment but X% did not. Of those who did not receive care in a welcoming environment, they were more likely to be X, X, and X. Overall, X% of patients were out to their providers, but this varied by X, X, and X. The most common ways of coming out included X, X, and X. When asked what they wanted to tell health care providers to ensure better care, participants highlighted several themes, including: X, X, and X. These findings provide patient driven insights into how cancer care varies within the LGBTQ+ population by different demographic factors and specific strategies providers can take to enhance care for LGBTQ+ people.
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Ye, M., B. Kahana, E. Kahana, and S. Xu. "TRUST IN THE DOCTOR-PATIENT RELATIONSHIP ENHANCES WELL-BEING AND LIFE SATISFACTION AMONG OLDER LGBTQ PEOPLE." Innovation in Aging 2, suppl_1 (2018): 123. http://dx.doi.org/10.1093/geroni/igy023.451.
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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 (2023): 427–56. http://dx.doi.org/10.36114/jlf.2023.9.24.2.427.
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Candrian, Carey, Janelle Sills, and Jane Lowers. "LGBT Seniors in the Pandemic: Silenced and Vulnerable." Annals of LGBTQ Public and Population Health 1, no. 4 (2020): 277–81. http://dx.doi.org/10.1891/lgbtq-2020-0031.
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Lesbian, gay, bisexual, and transgender (LGBT) seniors face disparities in physical and mental health as well as high rates of social isolation and risk of discrimination in comparison to cisgender, heterosexual people. Having identities and experiences silenced by real or perceived risks of discrimination increases isolation and vulnerability for marginalized communities and individuals. This article presents the case of Janelle, a senior, transgender lesbian, and her experiences of isolation and intersecting disparities before and during the COVID-19 pandemic, and how those experiences shape her concerns about the future. Her experiences demonstrate the ways in which the health and social risks presented by the pandemic exacerbate preexisting vulnerabilities for older LGBT adults.
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Steinberg, Donald. "Remarks by Donald Steinberg." Proceedings of the ASIL Annual Meeting 114 (2020): 235–38. http://dx.doi.org/10.1017/amp.2021.21.
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My work over the last forty-five years has been at the intersection of human rights, conflict transformation, and development with the U.S. government, civil society, and the United Nations. The clearest lesson I have learned is that peaceful, prosperous, and just societies only emerge when we draw on the leadership and contributions of all of society, including women, people with disabilities, racial and religious minorities, the LGBTQ community, displaced persons, and other marginalized groups. The paradox we face is that most of the policymakers and gatekeepers who are key to ensuring this diversity and inclusion are people like me: privileged, straight, older men with little direct experience of exclusion and abuse based on identity factors.
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Esiaka, Darlingtina, Alice Cheng, and Candidus Nwakasi. "Sexuality in Later Life and Mental Health Among Older Black Gay Men." Innovation in Aging 4, Supplement_1 (2020): 313–14. http://dx.doi.org/10.1093/geroni/igaa057.1005.
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Abstract Self-acknowledgement and integration of racial and sexual identities are significant to one’s overall sense of identity because of their implications for mental health and wellbeing. These issues are important as one ages because older people experience a wide range of factors that add layers to their ability to (re)integrate subsets of their identity into their overall self-identity such as age and age-related disabilities. This study examined the intersection of race and sexual identities on overall health status in older Black gay men, a demographic group that has historically received less attention. Data from the Social Justice Sexuality (SJS) survey of LGBTQ+ people of color which occurred over a 12-month period in the United States were analyzed. Participants (N=160), 50 years and over, responded to questions about their sexuality, social identity, family dynamics, community connection and engagement, and mental and physical health. Results show an association of mental wellbeing with racial and sexual identities. Further, results show that a strong sense of connection to other sexual minorities is positively associated with mental health in older Black gay men. We discuss the implication of findings for mental health interventions targeting this gendered population.
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Kum, Seon. "Gay, gray, black, and blue: An examination of some of the challenges faced by older LGBTQ people of color." Journal of Gay & Lesbian Mental Health 21, no. 3 (2017): 228–39. http://dx.doi.org/10.1080/19359705.2017.1320742.
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Stewart, Donna E., Harriet MacMillan, and Nadine Wathen. "Intimate Partner Violence." Canadian Journal of Psychiatry 58, no. 6 (2013): E1—E15. http://dx.doi.org/10.1177/0706743713058006001.
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• IPV is an underrecognized problem that occurs in all countries, cultures, and socioeconomic groups. • IPV has an enormous impact on personal health, and economic and social well-being. • IPV may occur in heterosexual and LGBTQ relationships and may be perpetrated by either sex. • Canadian data from 1999 show about equal proportions of men and women had been victims of physical (seven and eight per cent, respectively) and psychological (18 and 19 per cent, respectively) IPV in the previous five years. • Exposure to IPV has deleterious effects on children and other family members. • Some populations are at greater risk or have special needs for IPV. These include immigrant women, Aboriginal women, LGBTQ communities, people with ALs, pregnant women, dating adolescents, older people, alcohol and other substance abusing people, low-income people, and those without a current partner (that is, IPV perpetrated by a former partner). • Mental health problems associated with IPV include depression, anxiety disorders, chronic pain syndromes, eating disorders, sleep disorders, psychosomatic disorders, alcohol and other substance abuse, suicidal and self-harm behaviours, nonaffective psychosis, some personality disorders, and harmful health behaviours, such as risk taking and smoking. As IPV is a major determinant of mental health, it is of vital importance to mental health professionals. • Physical health problems associated with IPV include death, a broad range of injuries, reproductive disorders, gastrointestinal disorders, chronic pain syndromes, fibromyalgia, poor physical functioning, and lower health-related quality of life. Sexually transmitted diseases, unwanted pregnancies and physical inactivity are also increased. • Children's exposure to IPV may have short- and long-term health impacts on the child, especially mental health effects. • Perpetrators of IPV most frequently have personality disorders, but substance abuse and other types of mental illness or brain dysfunction may also occur.
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McCann, Edward, and Michael John Brown. "The mental health needs and concerns of older people who identify as LGBTQ+: A narrative review of the international evidence." Journal of Advanced Nursing 75, no. 12 (2019): 3390–403. http://dx.doi.org/10.1111/jan.14193.
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Lambrou, Nickolas H., Carey E. Gleason, Juno Obedin-Maliver, et al. "Subjective Cognitive Decline Associated with Discrimination in Medical Settings among Transgender and Nonbinary Older Adults." International Journal of Environmental Research and Public Health 19, no. 15 (2022): 9168. http://dx.doi.org/10.3390/ijerph19159168.
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Background: Transgender and nonbinary (TNB) individuals report greater subjective cognitive decline (SCD) compared to non-TNB people. SCD involves self-reported problems with memory and thinking and is a potential risk for Alzheimer’s disease and related dementias (ADRD). We explored psychosocial factors, such as discrimination in medical settings, associated with SCD in a sample of TNB older adults. Methods: We utilized cross-sectional data on aging health, SCD (memory complaints and worsening memory in the past year), and discrimination in medical settings from The PRIDE Study for LGBTQ+ adults aged 50+ including TNB adults (n = 115). Associations were tested using multivariate logistic regression. Results: Nearly 16% of TNB participants rated their memory as poor/fair, and 17% reported that their memory was worse than a year ago. TNB older adults with SCD were more likely to report experiencing discrimination in medical settings. After adjustment, those reporting discrimination in medical settings had 4.5 times higher odds of reporting worsening memory than those who did not (OR: 4.5; 95%-CI: 1.5–13.2; p = 0.006), and 7.5 times more likely to report poor/fair memory (OR: 7.49; 95%-CI: 1.7–32.8; p = 0.008); Conclusions: TNB older adults reported high frequencies of SCD and discrimination in medical settings. Further research exploring affirmative cognitive screening and healthcare services is needed.
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Tinney, Jean, Briony Dow, Phillip Maude, Rachel Purchase, Carolyn Whyte, and Catherine Barrett. "Mental health issues and discrimination among older LGBTI people." International Psychogeriatrics 27, no. 9 (2015): 1411–16. http://dx.doi.org/10.1017/s1041610214002671.
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LGBT is an acronym used to describe people from diverse sexual orientation or gender identity, people that are gay, lesbian, bisexual, or transgender. LGBT people do not constitute a single group nor does each individual “group” constitute a homogeneous unity. However, as higher rates of depression and/or anxiety have been observed in older LGBT people, compared to their heterosexual counterparts (Guasp, 2011) there is a need to raise the profile of mental health issues amongst these groups. The additional letter I is also often included in the acronym LGBTI as intersex people are often included as another gender diverse group. However, there is very little research that includes intersex people and none on older intersex people's mental health so this editorial is restricted to consideration of older LGBT people.
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Špatenková, Naděžda, and Ivana Olecká. "INVISIBLE OLDER PEOPLE: LGBTI+." Social Pathology and Prevention 6, no. 2 (2021): 29–41. http://dx.doi.org/10.25142/spp.2021.001.
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Brodeur, Magaly, Pasquale Roberge, Julie-Christine Cotton, et al. "Experience of LGBTQIA2S+ populations with gambling during the COVID-19 pandemic: protocol for a mixed-methods study." BMJ Open 13, no. 2 (2023): e066231. http://dx.doi.org/10.1136/bmjopen-2022-066231.
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IntroductionResearch undertaken since the beginning of the COVID-19 pandemic has provided us information about the impact of the pandemic on the gambling habits of the general population. However, very little is known about certain subgroups at increased risk of developing gambling disorder, such as the LGBTQIA2S+ population. The purpose of this study is to describe the impact of the COVID-19 pandemic on gambling behaviours among LGBTQIA2S+ individuals. In addition, we want to understand the experiences of the LGBTQIA2S+ population with gambling disorder and identify interventions that LGBTQIA2S+ people have found to be effective in addressing problem gambling during the COVID-19 pandemic.Methods and analysisThis study has a sequential explanatory mixed-method design in two phases over 2 years. The first phase is a correlational study. We will conduct a cross-sectional survey using a stratified random sampling among Canadian residents who are 18 years of age or older, self-identify as sexually and gender-diverse (ie, LGBTQIA2S+) and have gambled at least once in the previous 12 months. This survey will be administered online via a web panel (n=1500). The second phase is a qualitative study. Semistructured interviews will be conducted with LGBTQIA2S+ people with problematic gambling (n=30).Ethics and disseminationThis research project has been ethically and scientifically approved by the Research Ethics Committee and by the CIUSSS de l’Estrie—CHUS scientific evaluation committee on 3 March 2022 (reference number: 2022-4633—LGBTQ-JHA). Electronic and/or written informed consent, depending on the data collection format (online survey and online or in-person interviews), will be obtained from each participant. A copy of the consent form and contact information will be delivered to each participant.
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Payne, Drew. "Caring for older LGBT+ people." British Journal of Community Nursing 27, no. 7 (2022): 322–26. http://dx.doi.org/10.12968/bjcn.2022.27.7.322.
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Richards, David. "Working with older LGBT people." FPOP Bulletin: Psychology of Older People 1, no. 124 (2013): 6–10. http://dx.doi.org/10.53841/bpsfpop.2013.1.124.6.
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Hughes, Mark, and Andrew King. "Representations of LGBT ageing and older people in Australia and the UK." Journal of Sociology 54, no. 1 (2017): 125–40. http://dx.doi.org/10.1177/1440783317721350.
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While there is evidence of the cultural scripts lesbian, gay, bisexual and transgender (LGBT) older people use in making sense of their lives, little attention has been given to how these scripts are themselves produced. This article examines cultural representations of LGBT ageing and older people in 40 UK and Australian websites. It is argued that these sites form part of a cultural imaginary about LGBT ageing and older people accessed by policy makers and service providers. Employing membership categorization analysis, the study revealed attributes attached to LGBT ageing categories that related to constraint and celebration narratives. It also uncovered anomalies within the text of 23 websites where celebration and constraint attributes were juxtaposed, although in 15 websites only celebration representations were apparent. The findings highlight the complexity of some representations of LGBT ageing and older people, and the limitations of framing LGBT ageing and older people in homogenous ways.
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LEYERZAPF, H., M. VISSE, A. DE BEER, and T. A. ABMA. "Gay-friendly elderly care: creating space for sexual diversity in residential care by challenging the hetero norm." Ageing and Society 38, no. 2 (2016): 352–77. http://dx.doi.org/10.1017/s0144686x16001045.
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ABSTRACTStudies on older lesbian, gay, bisexual and transgender (LGBT) adults in residential care point to their discrimination, invisibility and the taboo on LGBT lifestyles, and call for development of ‘gay-friendly’ care. Yet, the literature is short on how to create inclusive residential care for older LGBT people. We aim to acquire in-depth understanding of experiences and needs of LGBT older people concerning their inclusion and participation in care settings to contribute to development of inclusive and responsive care that structurally enhances visibility, ‘voice’ and wellbeing of LGBT residents. Responsive, multi-stakeholder research using interviews, participant observations and focus groups was conducted within three elderly care homes in the Netherlands. Thematic, interpretative analysis was performed. LGBT respondents reported social exclusion and the need to feel safe and at home and be yourself. Exclusive activities for LGBT people foster personal and relational empowerment. However, heterogenous activities seem crucial in dealing with stereotypical imaging, heteronormativity and an equality-as-sameness discourse that influenced culture and daily practice in the homes and negatively affected the position of LGBT older adults. For development of gay-friendly elderly care exclusionary social norms need to be addressed. Dialogical sharing of narratives can help to empower LGBT older adults and stimulate understanding and shared responsibility between LGBT and heterosexual older people, as well as professionals.
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Almack, Kathryn. "END-OF-LIFE EXPERIENCES AND CARE NEEDS IN THE LIVES OF OLDER LGBT PEOPLE." Innovation in Aging 3, Supplement_1 (2019): S624. http://dx.doi.org/10.1093/geroni/igz038.2325.
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Abstract The socio-cultural and legal position of LGBT citizens varies across nations. However, even in the most liberal countries, an historical legacy of stigma impacts on older LGBT people’s access to care. This paper draws upon the qualitative strand of a two-year UK project exploring the end of life experiences and care needs of older LGBT people. (N = 60 in-depth interviews with LGBT participants aged 60+). Findings highlight that the majority of respondents reported ways in which they manage their personal networks to minimize any vulnerability to discrimination. In planning or needing end-of-life-care, respondents identify new ‘layers’ of decisions about disclosing or hiding their sexual or gender orientation; informed by past experiences and fears about discrimination or exclusion from service providers. In conclusion, older LGBT people’s histories and a legacy of stigma have ongoing profound influences on the means of support available to them at the end of life.
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Crossland, John. "Exploring the Care Act’s potential for anti-discriminatory practice with lesbian, gay, bisexual and trans older people." Quality in Ageing and Older Adults 17, no. 2 (2016): 97–106. http://dx.doi.org/10.1108/qaoa-05-2015-0026.
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Purpose – The planning and provision of care for older people in the lesbian, gay, bisexual and trans (LGBT) communities is an increasing challenge to traditional welfare systems. The purpose of this paper is to explore the potential of the newly implemented Care Act 2014 in England for developing an anti-discriminatory approach. Design/methodology/approach – The review draws on existing research and conceptual literature to identify how key provisions of the new act can be interpreted in light of current knowledge. Findings – Overall the provisions of the Care Act lend themselves well to positive interpretation in relation to the needs of older LGBT people and their support networks. A potential tension, however, arises in the locality focus of the legislation that could constrain good practice with geographically dispersed communities. There is also a need to challenge both heteronormative and ageist assumptions that lead to older LGBT people remaining unrecognised. Practical implications – Applied with imagination and commitment, the provisions of the new act could enable new forms of person-centred care to emerge to support older LGBT people. Social implications – Social workers are in a key position to influence how the Care Act is interpreted and applied in practice and can act as change agents for a societal move towards older LGBT people having greater choice and control over their well-being. Originality/value – This review presents examples of how the provisions of the legislation can be utilised to support positive change for older LGBT people.
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Hughes, Mark. "Health and well being of lesbian, gay, bisexual, transgender and intersex people aged 50 years and over." Australian Health Review 42, no. 2 (2018): 146. http://dx.doi.org/10.1071/ah16200.
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Objectives The aim of the present study was to examine the health and well being of older lesbian, gay, bisexual, transgender and intersex (LGBTI) people, the health issues that concern them, the services they use and challenges accessing services. Methods This study comprised a survey of the health and well being of 312 LGBTI people aged 50 years and over in New South Wales. The survey included the Short-Form 12 (SF-12) measure of health-related quality of life, the Kessler 10 (K10) measure of psychological distress, and the three-item Loneliness Scale. Results Higher levels of psychological distress, lower mental health and greater loneliness were found among this sample than is typically found in the general population. Mental health was lower among carers and those not in a relationship, while psychological distress was greater among those living alone and those experiencing higher rates of loneliness. The most commonly accessed health service was a general practitioner (GP), with most respondents reporting that they were open about their sexuality to their GP and that they had a regular GP. Some reported difficulties accessing health services because of their gender or sexual diversity. Conclusions Although many older LGBTI people are well, both physically and mentally, they do appear to face increased risk of certain health issues compared with the general population. What is known about the topic? Overseas research indicates that older LGBTI people may be at greater risk of certain physical and mental health conditions than the general population. What does this paper add? This paper provides Australian data, using well-validated instruments, on the health and well being of older LGBTI people. It provides evidence of the health issues that older LGBTI people are most concerned about and the barriers they face in accessing services. What are the implications for practitioners? It is important for health practitioners to be aware that older LGBTI people appear to be at increased risk of certain physical and mental health issues, such as loneliness and psychological distress. Providing opportunities for clients to identify their gender or sexual diversity may assist in monitoring risk factors and enable referral to promote healthy aging.
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Westwood, Sue, Paul Willis, Julie Fish, et al. "Older LGBT+ health inequalities in the UK: setting a research agenda." Journal of Epidemiology and Community Health 74, no. 5 (2020): 408–11. http://dx.doi.org/10.1136/jech-2019-213068.
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Lesbian, gay, bisexual and trans+ (LGBT+) people report poorer health than the general population and worse experiences of healthcare particularly cancer, palliative/end-of-life, dementia and mental health provision. This is attributable to: (a) social inequalities, including ‘minority stress’; (b) associated health-risk behaviours (eg, smoking, excessive drug/alcohol use, obesity); (c) loneliness and isolation, affecting physical/mental health and mortality; (d) anticipated/experienced discrimination and (e) inadequate understandings of needs among healthcare providers. Older LGBT+ people are particularly affected, due to the effects of both cumulative disadvantage and ageing. There is a need for greater and more robust research data to support growing international and national government initiatives aimed at addressing these health inequalities. We identify seven key research strategies: (1) Production of large data sets; (2) Comparative data collection; (3) Addressing diversity and intersectionality among LGBT+ older people; (4) Investigation of healthcare services’ capacity to deliver LGBT+ affirmative healthcare and associated education and training needs; (5) Identification of effective health promotion and/or treatment interventions for older LGBT+ people, and subgroups within this umbrella category; (6) Development of an (older) LGBT+ health equity model; (7) Utilisation of social justice concepts to ensure meaningful, change-orientated data production which will inform and support government policy, health promotion and healthcare interventions.
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Roe, Lorna, Miriam Galvin, Laura Booi, et al. "To live and age as who we really are: Perspectives from older LGBT+ people in Ireland." HRB Open Research 3 (May 21, 2020): 6. http://dx.doi.org/10.12688/hrbopenres.12990.2.
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This Open Letter discusses the theme of ‘diversity in brain health’ in research, practice and policy for older LGBT+ people. It is written by a multidisciplinary group of Atlantic Fellows for Equity in Brain Health at the Global Brain Health Institute in Trinity College Dublin (TCD), from a variety of disciplines (health economics, human geography, anthropology, psychology, gerontology) and professions (researcher, clinicians, writers, practicing artists). The group developed a workshop to explore the theme of ‘Diversity and Brain Health’ through the lens of lesbian, gay, bisexual, transgender/transsexual plus (LGBT+). . Guided by two advisors (Prof Agnes Higgins, TCD; Mr Ciaran McKinney, Age and Opportunity), we invited older LGBT+ people and those interested in the topic of LGBT+ and ageing, healthcare providers, policy makers and interested members of the research community. We partnered with colleagues in the School of Law to include socio-legal perspectives. Following the workshop, Roe and Walrath wrote an opinion editorial, published in the Irish Times during the 2019 PRIDE festival, and were subsequently invited by HRB Open Research to provide a more detailed expansion of that work. In this Open Letter we describe the theme of ‘diversity and brain health’ and some of the lessons we learned from listening to the lived experience of older LGBT+ people in Ireland today. We illustrate why it’s important to understand the lived experience of older LGBT+ people and highlight the failure of the State to evaluate the experience of LGBT+ people in policy implementation. We call on researchers, clinicians, service planners and policy makers, to recognize and address diversity as an important way to address health inequities in Ireland.