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Mental Health and Sexual Orientation Across the Life Course

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Sexual Minorities and Mental Health

Abstract

This chapter focuses on mental health and wellbeing at two ends of the age spectrum, comparing current cohorts of young and older LGBTQ people and their experiences of mental distress. We first consider temporal contexts and the themes of minority stress and intersectionality before then summarising the relevant research literature. Through comparing and contrasting the two sets of experiences we highlight sites of commonality and difference between younger and older LGBTQ people. Both groups experience higher rates of mental health problems than their majority peers, attributable to minority stress. Across the research literature presented is a clear message for more attention to be given to sources of social support for younger and older LGBTQ people and to accumulate more evidence of what factors (social, individual, cultural) support good mental wellbeing. Common to both groups is a predominant focus on social disadvantage and marginalisation and the adverse physical, mental and social outcomes that arise. We argue that more attention must be given to the factors that bolser the mental wellbeing of younger and older individuals—their strengths and coping practices and the community and social resources they have access to-as they navigate heterocentric and cisgendered social norms and environments.

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Notes

  1. 1.

    Throughout this chapter we use the abbreviation ‘LGBTQ’ to encompass those identifying as lesbian, gay, bisexual, trans and queer. When using this acronym we are mindful of the generational differences that accompany these identity makers, including recognition that many older people will not affiliate themselves with the expression ‘queer’ because of its historical homophobic connotations.

  2. 2.

    ILGA reports that in 2020 67 UN member states had in place legal provisions criminalising consensual same-sex activity.

References

  • Allen, K. R., & Lavender-Stott, E. S. (2020). The families of LGBTQ older adults: Theoretical approaches to creative family connections in the context of marginalization, social-historical change, and resilience. Journal of Family Theory and Review, 12(2), 200–219.

    Article  Google Scholar 

  • Almack, K. (2018). ‘I didn’t come out to go back in the closet’: Ageing and end of life care for older LGBT people. In A. King, K. Almack, S. Westwood, & Y. T. Sung (Eds.), Older lesbian, gay, bisexual and trans people: Minding the knowledge gaps (pp. 151–171). Routledge.

    Google Scholar 

  • Averett, P., Yoon, I., & Jenkins, C. L. (2011). Older lesbians: Experiences of aging, discrimination and resilience. Journal of Women and Aging, 23(3), 216–232.

    Article  PubMed  Google Scholar 

  • Bailey, L., McNeil, J., & Ellis, S. J. (2018). Mental health and well-being among older trans people. In A. King, K. Almack, Y. T. Suen, & S. Westwood (Eds.), Older lesbian, gay, bisexual and trans people: Minding the knowledge gaps (pp. 44–60). Routledge.

    Chapter  Google Scholar 

  • Baker, D., Durr, P., & Scott, P. (2016). Youth chances: Integrated report. Metro Charity. Accessed 30th July 2021, from https://metrocharity.org.uk/research/2016/nov/10/national-youth-chances

  • Baril, A., & Silverman, M. (2019). Forgotten lives: Trans older adults living with dementia at the intersection of cisgenderism, ableism/cogniticism and ageism. Sexualities, 1363460719876835.

    Google Scholar 

  • Bishop, M. D., Fish, J. N., Hammack, P. L., & Russell, S. T. (2020). Sexual identity development milestones in three generations of sexual minority people: A national probability sample. Developmental Psychology. Advance online publication. https://doi.org/10.1037/dev0001105

  • Bower, K. L., Lewis, D. C., Bermúdez, J. M., & Singh, A. A. (2021). Narratives of generativity and resilience among LGBT older adults: Leaving positive legacies despite social stigma and collective trauma. Journal of Homosexuality, 68(2), 230–251.

    Article  PubMed  Google Scholar 

  • Brennan-Ing, M., Haberlen, S., Ware, D., Egan, J. E., Brown, A. L., Meanley, S., Palella, F. J., Bolan, R., Cook, J. A., Okafor, C. N., & Friedman, M. R. (2021). Psychological connection to the gay community and negative self-appraisals in middle-aged and older men who have sex with men: The mediating effects of fitness engagement. The Journals of Gerontology: Series B. gbab076. https://doi.org/10.1093/geronb/gbab076

  • Correro, A. N., & Nielson, K. A. (2020). A review of minority stress as a risk factor for cognitive decline in lesbian, gay, bisexual, and transgender (LGBT) elders. Journal of Gay and Lesbian Mental Health, 24(1), 2–19.

    Article  PubMed  Google Scholar 

  • Crenshaw, K. (1991). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Standford Law Review, 43, 1241–1299.

    Article  Google Scholar 

  • Dannefer, D. (2003). Cumulative advantage/disadvantage and the life course: Cross-fertilizing age and social science theory. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58(6), S327–S337.

    Article  PubMed  Google Scholar 

  • Fabbre, V. D., & Gaveras, E. (2020). The manifestation of multilevel stigma in the lived experiences of transgender and gender nonconforming older adults. American Journal of Orthopsychiatry, 90(3), 350.

    Article  PubMed  Google Scholar 

  • Fish, J. N. (2020). Future directions in understanding and addressing mental health among LGBTQ youth. Journal of Child and Adolescent Psychology, 49(6), 943–956.

    Article  Google Scholar 

  • Fish, J. N., McInroy, L. B., Paceley, M. S., Williams, N. D., Henderson, S., Levine, D. S., & Edsall, R. N. (2020). “I’m kinda stuck at home with unsupportive parents right now”: LGBTQ youths’ experiences with COVID-19 and the importance of online support. Journal of Adolescent Health, 67(3), 450–452.

    Article  Google Scholar 

  • Fish, J. N., & Weis, C. (2019). All the lonely people, where do they all belong? An interpretive synthesis of loneliness and social support in older lesbian, gay and bisexual communities. Quality in Ageing and Older Adults, 20(3), 130–142.

    Article  Google Scholar 

  • Fredriksen-Goldsen, K. I., Cook-Daniels, L., Kim, H. J., Erosheva, E. A., Emlet, C. A., Hoy-Ellis, C. P., Goldsen, J., & Muraco, A. (2014). Physical and mental health of transgender older adults: An at-risk and underserved population. The Gerontologist, 54(3), 488–500.

    Article  PubMed  Google Scholar 

  • Fredriksen-Goldsen, K. I., Emlet, C. A., Kim, H. J., Muraco, A., Erosheva, E. A., Goldsen, J., & Hoy-Ellis, C. P. (2013). The physical and mental health of lesbian, gay male, and bisexual (LGB) older adults: The role of key health indicators and risk and protective factors. The Gerontologist, 53(4), 664–675.

    Article  PubMed  Google Scholar 

  • Fredriksen-Goldsen, K. I., Kim, H. J., Bryan, A. E., Shiu, C., & Emlet, C. A. (2017a). The cascading effects of marginalization and pathways of resilience in attaining good health among LGBT older adults. The Gerontologist, 57(suppl_1), S72–S83.

    Google Scholar 

  • Fredriksen-Goldsen, K. I., Shiu, C., Bryan, A. E., Goldsen, J., & Kim, H. J. (2017b). Health equity and aging of bisexual older adults: Pathways of risk and resilience. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 72(3), 468–478.

    PubMed  Google Scholar 

  • Gabb, J., McDermott, E., Eastham, R., & Hanbury, A. (2020). Paradoxical family practices: LGBTQ+ young people, mental health and wellbeing. Journal of Sociology, 56(4), 535–553.

    Article  Google Scholar 

  • Government Equalities Office. (2018). National LGBT survey: Research report. Department for Education. Accessed 1 July 2021, from https://www.gov.uk/government/publications/national-lgbt-survey-summary-report

  • Guasp, A. (2011). Lesbian, gay and bisexual people in later life. Stonewall.

    Google Scholar 

  • Hafford-Letchfield, T., Simpson, P., Willis, P. B., & Almack, K. (2018). Developing inclusive residential care for older lesbian, gay, bisexual and trans (LGBT) people: An evaluation of the care home challenge action research project. Health and Social Care in the Community, 26(2), e312–e320.

    Article  PubMed  Google Scholar 

  • Harwood, V. (2004). Telling truths: Wounded truths and the activity of truth telling. Discourse—Studies in the Cultural Politics of Education, 25(4), 467–476.

    Google Scholar 

  • Hash, K. M., & Rogers, A. (2013). Clinical practice with older LGBT clients: Overcoming lifelong stigma through strength and resilience. Clinical Social Work Journal, 41(3), 249–257.

    Article  Google Scholar 

  • Hawke, L. D., Hayes, E., Darnay, K., & Henderson, J. (2021). Mental health among transgender and gender diverse youth: An exploration of effects during the COVID-19 pandemic. Psychology of Sexual Orientation and Gender Diversity. Advance online publication. http://dx.doi.org/10.1037/sgd0000467

  • Heaphy, B. (2009). Choice and its limits in older lesbian and gay narratives of relational life. Journal of GLBT Family Studies, 5(1–2), 119–138.

    Article  Google Scholar 

  • Higgins, A., Downes, C., Murphy, R., Sharek, D., Begley, T., McCann, E., Sheerin, F., Smyth, S., De Vries, J., & Doyle, L. (2021). LGBT+ young people’s perceptions of barriers to accessing mental health services in Ireland. Journal of Nurse Management, 29(1), 58–67.

    Google Scholar 

  • Hill, A. O., Lyons, A., Jones, J., McGowan, I., Carman, M., Parsons, M., Power, J., & Bourne, A. (2021). Writing themselves in 4: The health and wellbeing of LGBTQA+ young people in Australia. National report, monograph series number 124. Australian Research Centre in Sex, Health and Society, La Trobe University. Accessed from http://www.latrobe.edu.au/arcshs

  • Hoy-Ellis, C. P., & Fredriksen-Goldsen, K. I. (2017). Depression among transgender older adults: General and minority stress. American Journal of Community Psychology, 59(3–4), 295–305.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hubbard, P. (2013). Kissing is not a universal right: Sexuality, law and the scales of citizenship. Geoforum, 49, 224–232.

    Article  Google Scholar 

  • Hulko, W. (2016). LGBT* individuals and dementia: An intersectional approach. In S. Westwood & E. Price (Eds.), Lesbian, gay, bisexual and trans* individuals living with dementia: Concepts, practice and rights (pp. 35–50). Routledge.

    Google Scholar 

  • ILGA. (2020). State-sponsored homophobia: Global legislation overview update. ILGA, Geneva. Accessed 20 July 2022 from https://ilga.org/state-sponsored-homophobia-report

  • Jen, S. (2018). Bisexual and aging: Striving for social justice. In S. Westwood (Ed.), Ageing, diversity, and inequality: Social justice perspectives (pp. 131–146). Routledge.

    Google Scholar 

  • Jen, S., & Jones, R. L. (2019). Bisexual lives and aging in context: A cross-national comparison of the United Kingdom and the United States. The International Journal of Aging and Human Development, 89(1), 22–38.

    Article  PubMed  Google Scholar 

  • Jones, B. A., Pierre Bouman, W., Haycraft, E., & Arcelus, J. (2019). Mental health and quality of life in non-binary transgender adults: A case control study. International Journal of Transgenderism, 20(2–3), 251–262.

    Article  PubMed  PubMed Central  Google Scholar 

  • Jones, R. L. (2018). Bisexual ageing: What do we know and why should we care? In A. King, K. Almack, Y. Suen, & S. Westwood (Eds.), Older lesbian, gay, bisexual and trans people: Minding the knowledge gaps. Routledge.

    Google Scholar 

  • Jones, R. L., Almack, K., & Scicluna, R. (2018). Older bisexual people: Implications for social work from the ‘Looking both ways’ study. Journal of Gerontological Social Work, 61(3), 334–347.

    Article  PubMed  Google Scholar 

  • Just Like Us. (2021). ‘Growing up LGBT+’ report. Accessed 14 July 2021, from https://www.justlikeus.org/single-post/growing-up-lgbt-just-like-us-research-report

  • Kim, H. J., Fredriksen-Goldsen, K. I., Bryan, A. E., & Muraco, A. (2017). Social network types and mental health among LGBT older adults. The Gerontologist, 57(suppl_1), S84–S94.

    Google Scholar 

  • King, A., Almack, K., & Jones, R. L. (Eds.). (2019). Intersections of ageing, gender and sexualities: Multidisciplinary international perspectives. Policy Press.

    Google Scholar 

  • King, S. D., & Richardson, V. E. (2017). Mental health for older LGBT adults. Annual Review of Gerontology and Geriatrics, 37(1), 59–75.

    Article  Google Scholar 

  • Kneale, D., Henley, J., Thomas, J., & French, R. (2021). Inequalities in older LGBT people’s health and care needs in the United Kingdom: A systematic scoping review. Ageing and Society, 41(3), 493–515.

    Article  PubMed  Google Scholar 

  • Knocker, S., Maxwell, N., Phillips, M., & Halls, S. (2012). Opening doors and opening minds: Sharing one project’s experience of successful community engagement. In R. Ward, I. Rivers, & M. Sutherland (Eds.), Lesbian, gay, bisexual and transgender ageing: Biographical approaches for inclusive care and support (pp. 150–164). Jessica Kingsley.

    Google Scholar 

  • Lucassen, M., Samra, R., Iacovides, I., Fleming, T., Shepherd, M., Stasiak, K., & Wallace, L. (2018). How LGBT+ young people use the internet in relation to their mental health and envisage the use of e-therapy: Exploratory study. JMIR Serious Games, 6(4), e11249.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lyons, A., Alba, B., Waling, A., Minichiello, V., Hughes, M., Barrett, C., Fredriksen-Goldsen, K., Edmonds, S., & Blanchard, M. (2021). Recent versus lifetime experiences of discrimination and the mental and physical health of older lesbian women and gay men. Ageing and Society, 41(5), 1072–1093.

    Article  Google Scholar 

  • Lyons, A., Hosking, W., & Rozbroj, T. (2015). Rural-urban differences in mental health, resilience, stigma, and social support among young Australian gay men. Journal of Rural Health, 31(1), 89–97.

    Article  Google Scholar 

  • McConnell, E. A., Birkett, M., & Mustanski, B. (2016). Families matter: Social support and mental health trajectories among lesbian, gay, bisexual, and transgender youth. Journal of Adolescent Health, 59(6), 674–680.

    Article  Google Scholar 

  • McDermott, E., Hughes, E., & Rawlings, V. (2018a). Norms and normalisation: Understanding lesbian, gay, bisexual, transgender and queer youth, suicidality and help-seeking. Culture, Health and Sexuality, 20(2), 156–172.

    Article  PubMed  Google Scholar 

  • McDermott, E., Hughes, E., & Rawlings, V. (2018b). The social determinants of lesbian, gay, bisexual and transgender youth suicidality in England: A mixed methods study. Journal of Public Health, 40(3), e244–e251.

    Article  PubMed  Google Scholar 

  • McDermott, E., Roen, K., & Scourfield, J. (2008). Avoiding shame: Young LGBT people, homophobia and self-destructive behaviours. Culture, Health and Sexuality, 10(8), 815–829.

    Article  PubMed  Google Scholar 

  • Mereish, E. H. (2019). Substance use and misuse among sexual and gender minority youth. Current Opinion in Psychology, 30, 123–127.

    Article  PubMed  PubMed Central  Google Scholar 

  • Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.

    Article  PubMed  PubMed Central  Google Scholar 

  • Meyer, I. H. (2015). Resilience in the study of minority stress and health of sexual and gender minorities. Psychology of Sexual Orientation and Gender Diversity, 2(3), 209.

    Article  Google Scholar 

  • Mustanski, B., Andrews, R., & Puckett, J. A. (2016). The effects of cumulative victimization on mental health among lesbian, gay, bisexual, and transgender adolescents and young adults. American Journal of Public Health, 106(3), 527–533.

    Article  PubMed  PubMed Central  Google Scholar 

  • Norris, M., & Quilty, A. (2020). Unreal, unsheltered, unseen, unrecorded: The multiple invisibilities of LGBTQI homeless youth. Critical Social Policy. First published 8th October 2020. https://doi.org/10.1177/0261018320953328

  • ONS. (2021). Internet users, UK: 2020. Released 6th April 2021. Accessed from https://www.ons.gov.uk/businessindustryandtrade/itandinternetindustry/bulletins/internetusers/2020

  • Pearce, R. (2018). Trans temporalities and non-linear ageing. In A. King, K. Almack, Y. T. Suen, & S. Westwood (Eds.), Older lesbian, gay, bisexual and trans people: Minding the knowledge gaps (pp. 1–9). Routledge.

    Google Scholar 

  • Ream, G. L. (2019). What’s unique about lesbian, gay, bisexual, and transgender (LGBT) youth and young adult suicides? Findings from the national violent death reporting system. Journal of Adolescent Health, 64(5), 602–607.

    Article  Google Scholar 

  • Rehman, Z., Jaspal, R., & Fish, F. (2020). ‘Service provider perspectives of minority stress among Black, Asian and minority ethnic lesbian, gay and bisexual people in the UK. Journal of Homosexuality. Published online. 14 September 2020. https://doi.org/10.1080/00918369.2020.1804256

  • Riggs, D. W., & Kentlyn, S. (2014). Transgender women, parenting, and experiences of ageing. In M. F. Gibson (Ed.), Queering motherhood: Narrative and theoretical perspectives (pp. 219–230). Demeter Press.

    Google Scholar 

  • Rivers, I., Gonzalez, C., Nodin, N., Peel, E., & Tyler, A. (2018). LGBT people and suicidality in youth: A qualitative study of perceptions of risk and protective circumstances. Social Science & Medicine, 212, 1–8.

    Article  Google Scholar 

  • Rosenfeld, D., Bartlam, B., & Smith, R. D. (2012). Out of the closet and into the trenches: Gay male baby boomers, aging, and HIV/AIDS. The Gerontologist, 52(2), 255–264.

    Article  PubMed  Google Scholar 

  • Russell, S. T., & Fish, J. N. (2016). Mental health in lesbian, gay, bisexual, and transgender (LGBT) youth. Annual Review of Clinical Psychology, 12, 465–487.

    Article  PubMed  PubMed Central  Google Scholar 

  • Scherrer, K. S. (2017). Stigma and special issues for bisexual older adults. Annual Review of Gerontology and Geriatrics, 37(1), 43–57.

    Article  Google Scholar 

  • Semlyen, J., King, M., Varney, J., & Hagger-Johnson, G. (2016). Sexual orientation and symptoms of common mental disorder or low wellbeing: Combined meta-analysis of 12 UK population health surveys. BMC Psychiatry, 16(1), 1–9.

    Article  Google Scholar 

  • Shearer, A., Herres, J., Kodish, T., Squitieri, H., James, K., Russon, J., Atte, T., & Diamond, G. S. (2016). Differences in mental health symptoms across lesbian, gay, bisexual, and questioning youth in primary care settings. Journal of Adolescent Health, 59(1), 38–43.

    Article  Google Scholar 

  • Simpson, P. (2013). Alienation, ambivalence, agency: Middle-aged gay men and ageism in Manchester’s gay village. Sexualities, 16(3–4), 283–299.

    Article  Google Scholar 

  • Simpson, P., Almack, K., & Walthery, P. (2018). ‘We treat them all the same’: The attitudes, knowledge and practices of staff concerning old/er lesbian, gay, bisexual and trans residents in care homes. Ageing and Society, 38(5), 869–899.

    Article  Google Scholar 

  • Smith, R. W., Altman, J. K., Meeks, S., & Hinrichs, K. L. (2019). Mental health care for LGBT older adults in long-term care settings: Competency, training, and barriers for mental health providers. Clinical Gerontologist, 42(2), 198–203.

    Article  PubMed  Google Scholar 

  • Talburt, S. (2004). Constructions of LGBT youth: Opening up subject positions. Theory into Practice, 42(2), 116–121.

    Article  Google Scholar 

  • Tinney, J., Dow, B., Maude, P., Purchase, R., Whyte, C., & Barrett, C. (2015). Mental health issues and discrimination among older LGBTI people. International Psychogeriatrics, 27(9), 1411–1416. https://doi.org/10.1017/S1041610214002671

  • Toze, M. (2019). Developing a critical trans gerontology. The British Journal of Sociology, 70(4), 1490–1509.

    Article  PubMed  Google Scholar 

  • Toze, M., Westwood, S., & Hafford-Letchfield, T. (2023). Social support and unmet needs among older trans and gender non-conforming people during the COVID-19 ‘lockdown’ in the UK. International Journal of Transgender Health, 24(3). 305–319. https://doi.org/10.1080/26895269.2021.1977210

  • Traies, J. (2016). The lives of older lesbians: Sexuality, identity and the life course. Springer.

    Book  Google Scholar 

  • Watson, R. J., Grossman, A. H., & Russell, S. T. (2019). Sources of social support and mental health among LGB Youth. Youth and Society, 51(1), 30–48.

    Article  PubMed  Google Scholar 

  • Westwood, S. (2016a). Ageing, gender and sexuality: Equality in later life. Routledge.

    Google Scholar 

  • Westwood, S. (2016b). ‘We see it as being heterosexualised, being put into a care home’: Gender, sexuality and housing/care preferences among older LGB individuals in the UK. Health and Social Care in the Community, 24(6), e155–e163.

    Article  PubMed  Google Scholar 

  • Westwood, S. (2020). The myth of ‘older LGBT+’ people: Research shortcomings and policy/practice implications for health/care provision. Journal of Aging Studies, 55, 100880.

    Article  PubMed  Google Scholar 

  • Westwood, S., Hafford-Letchfield, T., & Toze, M. (2021) The impact of COVID-19 on the lives of older LGBT+ people in the UK. https://covid19olderlgbt.wordpress.com/

  • Westwood, S., & Price, E. (Eds.). (2016). Lesbian, gay, bisexual and trans* individuals living with dementia: Concepts, practice and rights. Routledge.

    Google Scholar 

  • Westwood, S., Willis, P., Fish, J., Hafford-Letchfield, T., Semlyen, J., King, A., Beach, B., Almack, K., Kneale, D., Toze, M., & Becares, L. (2020). Older LGBT+ health inequalities in the UK: Setting a research agenda. Journal of Epidemiology and Community Health, 74(5), 408–411.

    Article  PubMed  Google Scholar 

  • Willis, P. (2012). Constructions of lesbian, gay, bisexual and queer identities among young people in contemporary Australia. Culture, Health and Sexuality, 14(9/10), 1213–1227.

    Article  PubMed  Google Scholar 

  • Willis, P., Almack, K., Hafford-Letchfield, T., Simpson, P., Billings, B., & Mall, N. (2018). Turning the co-production corner: Methodological reflections from an action research project to promote LGBT inclusion in care homes for older people. International Journal of Environmental Research and Public Health, 15(4), 695.

    Article  PubMed  PubMed Central  Google Scholar 

  • Willis, P., Dobbs, C., Evans, E., Raithby, M., & Bishop, J. A. (2020). Reluctant educators and self-advocates: Older trans adults’ experiences of health-care services and practitioners in seeking gender-affirming services. Health Expectations, 23(5), 1231–1240.

    Article  PubMed  PubMed Central  Google Scholar 

  • Willis, P., Maegusuku-Hewett, T., Raithby, M., & Miles, P. (2016). Swimming upstream: The provision of inclusive care to older lesbian, gay and bisexual (LGB) adults in residential and nursing environments in Wales. Ageing and Society, 36(2), 282–306.

    Article  Google Scholar 

  • Willis, P., Raithby, M., Dobbs, C., Evans, E., & Bishop, J. A. (2021). ‘I’m going to live my life for me’: Trans ageing, care, and older trans and gender non-conforming adults’ expectations of and concerns for later life. Ageing and Society, 41(12), 2792–2813.

    Google Scholar 

  • Willis, P., Vickery, A., & Jessiman, T. (2022). Loneliness, social dislocation and invisibility experienced by older men who are single or living alone: Accounting for differences across sexual identity and social context. Ageing and Society, 42(2), 409–431.

    Article  Google Scholar 

  • Witten, T. M. (2016). Aging and transgender bisexuals: Exploring the intersection of age, bisexual sexual identity, and transgender identity. Journal of Bisexuality, 16(1), 58–80.

    Article  Google Scholar 

  • Yarns, B. C., Abrams, J. M., Meeks, T. W., & Sewell, D. D. (2016). The mental health of older LGBT adults. Current Psychiatry Reports, 18(6), 60.

    Article  PubMed  Google Scholar 

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Willis, P., Westwood, S. (2023). Mental Health and Sexual Orientation Across the Life Course. In: Semlyen, J., Rohleder, P. (eds) Sexual Minorities and Mental Health. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-031-37438-8_5

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