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Society meets the needs of the elderly in several ways, many of which may be relatively similar across western societies, although their names may differ. In the US, assisted living refers to a residential community for individuals, akin to college-dormitory living in a room or suite, with common areas for all residents. The need for some daily care is provided to the residents (e.g., meals, medications, housekeeping). A continuing care retirement community or CCRC refers to a community in which the unfolding needs of the elderly are met within a single complex from little, if any (independent living in one’s home or in an apartment or cottage on the CCRC’s premises), to assisted living, to nursing home care, to end-of-life care. The CCRC provides or facilitates the provision of all necessary services at every level of care.
References
Carswell, J. M., & Stafford, D. E. J. (2016). Normal physical growth and development. L. S. Neinstein (Eds.). Neinstein’s adolescent and young adult health care (6th ed., pp. 28–37). Kluwer.
Casey, B. J. (2015). Beyond simple models of self-control to circuit-based accounts of adolescent behavior. Annual Review of Psychology, 66(1), 295–319. https://doi.org/10.1146/annurev-psych-010814-015156
Cass, V. C. (1979). Homosexual identity formation. Journal of Homosexuality, 4(3), 219–235. https://doi.org/10.1300/J082v04n03_01
Egan, S. K., & Perry, D. G. (2001). Gender identity: A multidimensional analysis with implications for psychosocial adjustment. Developmental Psychology, 37(4), 451–463. https://doi.org/10.1037//0012-1649.37.4.451
Erikson, E. H. (1968). Identity, youth and crisis. Norton.
Erikson, E. H. (1980). The problem of ego identity. In Identity and the life cycle (pp. 107–175). Norton.
Fassinger, R. E., & Miller, B. A. (1997). Validation of an inclusive model of sexual minority identity formation on a sample of gay men. Journal of Homosexuality, 32(2), 53–78. https://doi.org/10.1300/J082v32n02_04
Floyd, F. J., & Bakeman, R. (2006). Coming-out across the life course: Implications of age and historical context. Archives of Sexual Behavior, 35(3), 287–296. https://doi.org/10.1007/s10508-006-9022-x
Fredriksen-Goldsen, K. I., Kim, H.-J., Barkan, S. E., Muraco, A., & Hoy-Ellis, C. P. (2013). Health disparities among lesbian, gay, and bisexual older adults: Results from a population-based study. American Journal of Public Health, 103(10), 1802–1809. https://doi.org/10.2105/AJPH.2012.301110
Fredriksen-Goldsen, K. I., Kim, H.-J., Shui, C., & Bryan, A. E. B. (2017). Chronic health conditions and key health indicators among lesbian, gay, and bisexual older US adults, 2013–2014. American Journal of Public Health, 107(8), 1332–1338. https://doi.org/10.2105/AJPH.2017.303922
Friedman, M. R., Dodge, B., Schick, V., Herbenick, D., Hubach, R., Bowling, J., Goncalves, G., Krier, S., & Reece, M. (2014). From bias to bisexual health disparities: Attitudes toward bisexual men and women in the United States. LGBT Health, 1(4), 309–318. https://doi.org/10.1089/lgbt.2014.0005
Friedman, R. C., & Downey, J. I. (2002). Sexual orientation and psychodynamic psychotherapy: Sexual science and clinical practice. Columbia University Press.
Ganna, A., Verweij, K. J. H., Nivard, M. G., Maier, R., Wedow, R., Busch, A. S., Abdellaoui, A., Guo, S., Sathirapongsasuti, J. F., 23andMe Research Team, Lichtenstein, P., Lundström, S., Långström, N., Auton, A., Harris, K. M., Beecham, G. W., Martin, E. R., Sanders, A. R., Perry, J. R. B., Neale, B. M., … Zietsch, B. P. (2019). Large-scale GWAS reveals insights into the genetic architecture of same-sex sexual behavior. Science, 365. https://doi.org/10.1126/science.aat7693
Hatzenbuehler, M. L. (2016). Structural stigma: Research evidence and implications for psychological science. American Psychologist, 71, 742–751. https://doi.org/10.1037/amp0000068
Hensel, D. J., & Hendrix, K. L. (2016). Adolescent and young adult sexuality. In L. S. Neinstein (Ed.), Neinstein’s adolescent and young adult health care (6th ed., pp. 329–334). Kluwer.
Kaestle, C. E. (2019). Sexual orientation trajectories based on sexual attractions, partners, and identity: A longitudinal investigation from adolescence through young adulthood using a U.S. representative sample. Journal of Sex Research, 56(7), 811–826. https://doi.org/10.1080/00224499.2019.1577351
Lattanner, M. R., Ford, J., Bo, N., Tu, W., Pachankis, J. E., Dodge, B., & Hatzenbuehler, M. L. (2021). A contextual approach to the psychological study of identity concealment: Examining direct, interactive, and indirect effects of structural stigma on concealment motivation across proximal and distal geographic levels. Psychological Science, 32(10), 1684–1696. https://doi.org/10.1177/09567976211018624
Laursen, B., & Collins, W. A. (2009). Parent-child relationships during adolescence. In R. M. Lerner & L. Steinberg (Eds.), Handbook of adolescent psychology (3rd ed., Vol. 2, pp. 3–42). Wiley.
McCarn, S. R., & Fassinger, R. E. (1996). Revisioning sexual minority identity formation: A new model of lesbian identity and its implications for counseling and research. The Counseling Psychologist, 24(3), 508–534. https://doi.org/10.1177/0011000096243011
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674
Morton, M. H., Dworsky, A., Matjasko, J. L., Curry, S. R., Schlueter, D., Chávez, R., & Farrell, A. F. (2018). Prevalence and correlates of youth homelessness in the United States. Journal of Adolescent Health, 62(1), 14–21. https://doi.org/10.1016/j.jadohealth.2017.10.006
Pachankis, J. E., Cochran, S. D., & Mays, V. M. (2015). The mental health of sexual minority adults in and out of the closet: A population-based study. Journal of Consulting and Clinical Psychology, 83, 890–901. https://doi.org/10.1037/ccp0000047
Pachankis, J. E., & Jackson, S. D. (2022). A developmental model of the sexual minority closet: Structural sensitization, psychological adaptations, and post-closet growth. Archives of Sexual Behavior. https://doi.org/10.1007/s10508-022-02381-w
Pachankis, J. E., Mahon, C. P., Jackson, S. D., Fetzner, B. K., & Bränström, R. (2020). Sexual orientation concealment and mental health: A conceptual and meta-analytic review. Psychological Bulletin, 146(10), 831–871. https://doi.org/10.1037/bul0000271
Pearson, J., Thrane, L., & Wilkinson, L. (2017). Consequences of runaway and thrownaway experiences for sexual minority health during the transition to adulthood. Journal of LGBT Youth, 14(2), 145–171. https://doi.org/10.1080/19361653.2016.1264909
Pharr, J. R. (2021). Health disparities among lesbian, gay, bisexual, transgender, and nonbinary adults 50 years old and older in the United States. LGBT Health, 8(7), 473–485. https://doi.org/10.1089/lgbt.2021.0009
Przeworski, A., Peterson, E., & Piedra, A. (2021). A systematic review of the efficacy, harmful effects, and ethical issues related to sexual orientation change efforts. Clinical Psychology: Science and Practice, 28(1), 81–100. https://doi.org/10.1111/cpsp.12377
Rieger, G., Linsenmeier, J. A. W., Gygax, L., & Bailey, J. M. (2008). Sexual orientation and childhood gender nonconformity: Evidence from home videos. Developmental Psychology, 44(1), 46–58. https://doi.org/10.1037/0012-1649.44.1.46
Roberts, A. L., Rosario, M., Corliss, H. L., Koenen, K. C., & Austin, S. B. (2012). Childhood gender nonconformity: A risk indicator for childhood abuse and posttraumatic stress in youth. Pediatrics, 129(3), 410–417. https://doi.org/10.1542/peds.2011-1804
Rosario, M. (2019). Sexual orientation development of heterosexual, bisexual, lesbian, and gay individuals: Questions and hypotheses based on Kaestle’s (2019) research. Journal of Sex Research, 56(7), 827–831. https://doi.org/10.1080/00224499.2019.1590796
Rosario, M., Espinosa, A., Kittle, K., & Russell, S. T. (2022). Childhood experiences and mental health of sexual minority adults: Examining three models. Journal of Sex Research, 59(7), 834–847. https://doi.org/10.1080/00224499.2022.2034137
Rosario, M., Hunter, J., Maguen, S., Gwadz, M., & Smith, R. (2001). The coming-out process and its adaptational and health-related associations among gay, lesbian, and bisexual youths: Stipulation and exploration of a model. American Journal of Community Psychology, 29(1), 133–160. https://doi.org/10.1023/A:1005205630978
Rosario, M., & Schrimshaw, E. W. (2013). The sexual identity development and health of lesbian, gay, and bisexual adolescents: An ecological perspective. In C. J. Patterson & A. R. D’Augelli (Eds.), Handbook of psychology and sexual orientation (pp. 87–101). Oxford University Press.
Rosario, M., Schrimshaw, E. W., & Hunter, J. (2008). Predicting different patterns of sexual identity development over time among lesbian, gay, and bisexual youths: A cluster analytic approach. American Journal of Community Psychology, 42(3–4), 266–282. https://doi.org/10.1007/s10464-008-9207-7
Rosario, M., Schrimshaw, E. W., & Hunter, J. (2009). Disclosure of sexual orientation and subsequent substance use and abuse among lesbian, gay, and bisexual youths: Critical role of disclosure reactions. Psychology of Addictive Behaviors, 23(1), 175–184. https://doi.org/10.1037/a0014284
Rosario, M., Schrimshaw, E. W., Hunter, J., & Braun, L. (2006). Sexual identity development among gay, lesbian, and bisexual youths: Consistency and change over time. Journal of Sex Research, 43(1), 46–58. https://doi.org/10.1080/00224490609552298
Rosario, M., Schrimshaw, E. W., Hunter, J., & Gwadz, M. (2002). Gay-related stress and emotional distress among gay, lesbian, and bisexual youths: A longitudinal examination. Journal of Consulting and Clinical Psychology, 70(4), 967–975. https://doi.org/10.1037//0022-006x.70.4.967
Ryan, C., Toomey, R. B., Diaz, R. M., & Russell, S. T. (2020). Parent-initiated sexual orientation change efforts with LGBT adolescents: Implications for young adult mental health and adjustment. Journal of Homosexuality, 67(2), 159–173. https://doi.org/10.1080/00918369.2018.1538407
Savin-Williams, R. C., & Diamond, L. M. (2000). Sexual identity trajectories among sexual-minority youths: Gender comparisons. Archives of Sexual Behavior, 29(6), 607–627. https://doi.org/10.1023/A:1002058505138
Schuler, M. S., Stein, B. D., & Collins, R. L. (2019). Differences in substance use disparities across age groups in a national cross-sectional survey of lesbian, gay, and bisexual adults. LGBT Health, 6(2), 68–76. https://doi.org/10.1089/lgbt.2018.0125
Seager van Dyk, I., Aldao, A., & Pachankis, J. E. (2022). Coming out under fire: The role of minority stress and emotion regulation in sexual orientation disclosure. PLoS ONE, 17(5), 0267810. https://doi.org/10.1371/journal.pone.0267810
Swan, T. B., & Bernack, S. (2014). The desires that were denied: (Re-) construction of sexual identity in middle adulthood. Behavioral Development Bulletin, 19(4), 128–134.
Thoma, B. C., Eckstrand, K. L., Montano, G. T., Rezeppa, T. L., & Marshal, M. P. (2021). Gender nonconformity and minority stress among lesbian, gay, and bisexual individuals: A meta-analytic review. Perspectives on Psychological Science, 16(6), 1165–1183. https://doi.org/10.1177/1745691620968766
Troiden, R. R. (1989). The formation of homosexual identities. Journal of Homosexuality, 17(1–2), 43–74. https://doi.org/10.1300/J082v17n01_02
Worthington, R. L., & Reynolds, A. L. (2009). Within-group differences in sexual orientation and identity. Journal of Counseling Psychology, 56, 44–55. https://doi.org/10.1037/a0013498
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This research commentary was supported by the National Cancer Institute (2U54CA132378-11A1).
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This commentary was supported by the National Cancer Institute of the US, grant 2U54CA132378-11A1.
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Rosario, M. Development of Lesbian/Gay, Bisexual, and Other Sexual Minority Individuals: The Closet and Disclosure as a Window into the Issue. Arch Sex Behav 52, 1923–1929 (2023). https://doi.org/10.1007/s10508-022-02516-z
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DOI: https://doi.org/10.1007/s10508-022-02516-z