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Sexuality and Aging with LGBT Populations

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Sexuality and Aging

Abstract

Although a general lack of empirical research regarding older LGBT individuals persists, estimates suggest that more than 3.5 million Americans self-identify as lesbian, gay, bisexual, or transgender. Findings from the first national survey of its kind reveals that the majority of lesbian, gay, and bisexual elders are middle-incomed, well-educated, and in a long-term committed relationship. Findings also indicate that LGBT elders are 80% less likely to access needed health and social services when compared to their heterosexual counterparts, and that negative reactions from health care providers serve as a precipitating factor. LGBT elders face a variety of unique stressors associated with aging including caregiving fears and burden, and legal challenges to domestic partnerships. It also is essential to recognize that lesbian, gay, bisexual, and transgendered elders cannot be viewed as a homogenous group. To complicate matters, few clinicians receive adequate graduate training or continuing education regarding LGBT issues, particularly within the context of sexuality and aging. Specific recommendations are offered to help clinicians make their practices more LGBT friendly (e.g., include information about family members by choice), and to assist their clients plan more effectively for retirement, long-term care, and end-of-life issues. Helping LGBT elders harness their coping skills also can provide vital insight into personal strengths, as well as a renewed recognition of pride and resilience.

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References

  • Addis, S., Mavies, M., Greene, G., MacBride-Stewart, S., & Shepherd, M. (2009). The health, social care and housing needs of lesbian, gay, bisexual and transgender older people: A review of the literature. Health and Social Care in the Community, 17, 647–658.

    Article  PubMed  Google Scholar 

  • Adelman, M., Gurvitch, J., de Vries, B., & Blando, J. (2006). Openhouse. In D. Kimmel, R. Rose, & S. David (Eds.), Lesbian, gay, bisexual, and transgender aging (pp. 247–264). New York: Columbia University Press.

    Google Scholar 

  • American Psychological Association. (2011a). Practice guidelines for LGB clients. Retrieved from http://www.apa.org/pi/lgbt/resources/guidelines.aspx

  • Anderson, L. (2008, October 21). Aging even tougher for gays and lesbians. Chicago Tribune. Accessed 21 Oct 2008. http://www.chicagotribune.com/news/nationworld/chi-gay-elderly, 0,2552870.story

  • Asencio, M., Blank, T., Descartes, L., & Crawford, A. (2009). The prospect of prostate cancer: A challenge for gay men’s sexualities as they age. Sexuality Research and Social Policy, 6(4), 38–51.

    Article  Google Scholar 

  • Balsam, K., & D’Augelli, A. (2006). The victimization of older LGBT adults. In D. Kimmel, T. Rose, & S. David (Eds.), Lesbian, gay, bisexual, and transgender aging (pp. 110–130). New York: Columbia University Press.

    Google Scholar 

  • Barranti, C., & Cohen, H. (2000). Lesbian and gay elders: An invisible minority. In R. Schneider, N. Kropt, & A. Kisor (Eds.), Gerontological social work: Knowledge, service settings and special populations (2nd ed., pp. 343–367). Belmont, CA: Wadsworth/Thompson Learning.

    Google Scholar 

  • Bonvicini, K., & Perlin, M. (2003). The same but different: Clinician-patient communication with gay and lesbian patients. Patient Education and Counseling, 51, 115–122.

    Article  PubMed  Google Scholar 

  • Brotman, S., Ryan, R., & Cormier, R. (2003). The health and social service needs of gay and lesbian elders and their families in Canada. The Gerontologist, 43, 192–202.

    Article  PubMed  Google Scholar 

  • Burckell, L. A., & Goldfried, M. R. (2006). Therapist qualities preferred by sexual-minority individuals. Psychotherapy: Theory, Research, Practice, and Training, 43, 32–49.

    Article  Google Scholar 

  • Centers for Disease Control and Prevention. (2008b). Persons age 50 and over: Centers for disease control and prevention. Atlanta, GA: Author.

    Google Scholar 

  • Cook-Daniels, L., & Munson, M. (2010). Sexual violence, elder abuse, and sexuality of transgender adults, age 50+: Results of three surveys. Journal of GLBT Family Studies, 6, 142–177.

    Article  Google Scholar 

  • David, S., & Cernin, P. A. (2008). Psychotherapy with lesbian, gay, bisexual, and transgender older adults. Journal of Gay and Lesbian Social Services, 20, 31–49.

    Article  Google Scholar 

  • Deevey, S. (1990). Older lesbian women: An invisible minority. Journal of Gerontological Nursing, 16, 35–39.

    PubMed  Google Scholar 

  • Drabble, L., Keatley, J., & Marcelle, G. (2003). Progress and opportunities in lesbian, gay, bisexual, and transgender health communications. Clinical Research and Regulatory Affairs, 20, 205–227.

    Article  Google Scholar 

  • Dworkin, S. (2006). The aging bisexual: The invisible of the invisible minority. In D. Kimmel, T. Rose, & S. David (Eds.), Lesbian, gay, bisexual, and transgender aging (pp. 36–52). New York: Columbia University Press.

    Google Scholar 

  • Fredriksen-Goldsen, K. I., & Muraco, A. (2010). Aging and sexual orientation: A 25-year review of the literature. Research on Aging, 32, 372–413.

    Article  Google Scholar 

  • Garnets, L., Hancock, K. A., Cochran, S. D., Goodchilds, J., & Peplau, L. A. (1991). Issues in psychotherapy with lesbians and gay men: A survey of psychologists. The American Psychologist, 46, 964–972.

    Article  PubMed  Google Scholar 

  • Gelo, F. (2008). Invisible individuals: LGBT elders (pp. 36–40). Summer: Aging Well.

    Google Scholar 

  • Goldberg, S., Sickler, J., & Dibble, S. L. (2005). Lesbians over sixty: The consistency of findings from twenty years of survey data. Journal of Lesbian Studies, 9, 195–213.

    Article  PubMed  Google Scholar 

  • Haber, D. (2009). Gay aging. Gerontology and Geriatrics Education, 30, 267–280.

    Article  PubMed  Google Scholar 

  • Hash, K. M., & Netting, F. E. (2007). Long-term planning and decision-making among midlife and older gay men. Journal of Social Work in End-of-Life & Palliative Care, 3(2), 57–77.

    Article  Google Scholar 

  • Heaphy, B. (2007). Sexualities, gender and ageing: Resources and social change. Current Sociology, 55, 193–210.

    Article  Google Scholar 

  • Hinrichs, K. L. M., & Vacha-Haase, T. (2010). Staff perceptions of same-gender sexual contacts in long-term care facilities. Journal of Homosexuality, 57, 776–789.

    Article  PubMed  Google Scholar 

  • Hinrichsen, G. A. (2006). Why multicultural issues matter for practitioners working with older adults. Professional Psychology: Research and Practice, 37, 29–35.

    Article  Google Scholar 

  • Hong, K. E. (2003). Categorical exclusions: Exploring legal responses to health care discrimination against transsexuals. Columbia Journal of Gender and Law, 14(1), 88.

    Google Scholar 

  • Hughes, D., & Evans, A. (2003). Health needs of women who have sex with women. British Medical Journal, 327, 1739–1758.

    Google Scholar 

  • Hughes, M. (2009). Lesbian and gay people’s concerns about ageing and accessing services. Australian Social Work, 62, 186–201.

    Article  Google Scholar 

  • Jackson, N., Johnson, M., & Roberts, R. (2008). The potential impact of discrimination fears of older gays, lesbians, bisexuals and transender individuals living in small-to moderate-sized cities on long-term health care. Journal of Homosexuality, 54, 325–339.

    Article  PubMed  Google Scholar 

  • Jones, J. C., & Mystrom, N. M. (2003). Looking back…looking forward: Addressing the lives of lesbians 55 and older. Journal of Women & Aging, 14, 59–76.

    Article  Google Scholar 

  • Kelly, J. (1977). The aging male homosexual: Myth and reality. The Gerontologist, 17, 328–332.

    Article  PubMed  Google Scholar 

  • Kingston, T. (2002). The challenges and rewards of life as an outspoken bisexual elder. Outworld, 8, 1–6.

    Google Scholar 

  • Knauer, N. (2009). LGBT elder law: Toward equity in aging. Harvard Journal of Law & Gender, 32, 1–58.

    Google Scholar 

  • Landers, S., Mimiaga, M. J., & Krinsky, L. (2010). The open door project task force: A qualitative study of LGBT aging. Journal of Gay & Lesbian Social Services, 22, 316–336.

    Article  Google Scholar 

  • Lehabot, K., Walters, K. L., & Simoni, J. M. (2010). Abuse, mastery, and health among lesbian, bisexual, and two-spirit American Indian and Alaska Native Women. Psychology of Violence, 1(S), 53–67.

    Google Scholar 

  • Lewittes, H. J. (1988). Just being friendly means a lot-Women, friendship, and aging. Women & Health, 14, 139–159.

    Article  Google Scholar 

  • Linley, L., Hall, H., & An, Q. (December, 2007). HIV/AIDS diagnoses 2. Among persons fifty years and older in 33 states, 2001-20005. Atlanta, GA: Centers for Disease Control and Prevention National HIV Prevention Conference.

    Google Scholar 

  • Martinez, R. (2005). Prostate cancer and sex. Journal of Gay & Lesbian Psychotherapy, 9, 91–99.

    Article  Google Scholar 

  • McDougall, G. J. (1993). Therapeutic issues with gay and lesbian elders. Clinical Gerontologist, 14, 45–57.

    Article  Google Scholar 

  • Metlife Mature Market Institute. (2010). Demographic profile: America’s middle boomers. Retrieved from http://www.metlife.com/assets/cao/mmi/publications/Profiles/mmi-middle-boomer-demographic-profile.pdf

  • Metlife Mature Market Institute, & The Lesbian and Gay Aging Issues Network of the American Society of Aging. (2010). Out and aging: The Metlife study of lesbian and gay baby boomers. Journal of GLBT Family Studies, 6, 40–57.

    Google Scholar 

  • Meyerowitz, J. (2002). How sex changed: A history of transsexuality in the United States. Cambridge: Harvard University Press.

    Google Scholar 

  • Murphy, J. A., Rawlings, E. I., & Howe, S. R. (2002). A survey of clinical and psychologists on treatment lesbian, gay, and bisexual clients. Professional Psychology: Research and practice, 33, 183–189.

    Article  Google Scholar 

  • Oswald, R., & Masciadrelli, B. (2008). Generative ritual among nonmetropolitan lesbians and gay men: Promoting social inclusion. Journal of Marriage & Family, 70, 1060–1073.

    Article  Google Scholar 

  • Pugh, S. (2005). Assessing the cultural needs of older lesbians and gay men: Implications for practice. Practice: Social Work in Action, 17, 207–218.

    Google Scholar 

  • Quam, J. K., & Whitford, G. S. (1992). Adaptation and age related expectation of older gay and lesbian adults. The Gerontologist, 32, 367–374.

    Article  PubMed  Google Scholar 

  • Riggle, E. D. B., Whitman, J. S., Olson, A., Rostosky, S. S., & Strong, S. (2008). The positive aspects of being a lesbian or gay man. Professional Psychology: Research and Practice, 39, 210–217.

    Article  Google Scholar 

  • Shippy, R. M., Cantor, M. H., & Brennan, M. (2004). Social networks of aging gay men. Journal of Men’s Studies, 13, 107–120.

    Article  Google Scholar 

  • Slusher, M. P., Mayer, C. J., & Dunkle, R. E. (1996). Gays and lesbians older and wiser (GLOW): A support group for older gay people. The Gerontologist, 36, 118–123.

    Article  PubMed  Google Scholar 

  • Spitzer, R. (1981). The diagnostic status of homosexuality in DSM-III: A reformulation of the issues. The American Journal of Psychiatry, 138, 210–215.

    Article  PubMed  Google Scholar 

  • Tiggemann, M., Martins, Y., & Kirkbride, A. (2007). Oh to be lean and muscular: Body image ideals in gay and heterosexual men. Psychology of Men and Masculinity, 8, 15–24.

    Article  Google Scholar 

  • United States Department of Health and Human Services. (2001). Fact sheet: The many faces of aging. Washington, DC: Author.

    Google Scholar 

  • von Sydow, K. (1995). Unconventional sexual relationships: Data about German women ages 50 to 91 years. Archives of Sexual Behavior, 24, 271–283.

    Article  Google Scholar 

  • Williams, M. E., & Freeman, P. A. (2007). Transgender health: Implications for aging and caregiving. Journal of Gay & Lesbian Services, 18, 93–108.

    Article  Google Scholar 

  • Wolf, D. G. (1982). Growing older: Lesbians and gay men. Berkeley: University of California Press.

    Google Scholar 

  • Xavier, J., Hitchcock, D., Hollinshead, S., Keisling, M., Lewis, Y., Lombardi, E., et al. (2004). An overview of U.S. trans health priorities: A report by the Eliminating Disparities Working Group. Washington, D.C.: National Coalition for LGBT Health.

    Google Scholar 

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Authors and Affiliations

  1. Psychology Department, Pennsylvania State University Berks College, Reading, PA, USA

    Jennifer Hillman

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  1. Jennifer Hillman
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Hillman, J. (2012). Sexuality and Aging with LGBT Populations. In: Sexuality and Aging. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3399-6_9

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