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Minority Stress in Older Portuguese Gay and Bisexual Men and Its Impact on Sexual and Relationship Satisfaction


By 2050, the elderly population is expected to represent more than one third of the Portuguese population. Previous research demonstrated a significant increase of the LGB population in this age group, and that the needs of these individuals are not being addressed. Elderly LGB people, as both a sexual minority and an older age cohort, are particularly vulnerable to double stigma. The aim of this study was to evaluate how minority status of gay/bisexual men and its association with other psychosocial variables may affect sexual and relationship satisfaction. The sample was recruited online and composed of 110 gay/bisexual men aged 60 years or older (M = 63.5; SD = 3.41). Regression analyses showed that both the concealment of sexual identity in recent years and self-stigma significantly affected sexual and relationship satisfaction. In contrast, age-related discrimination was not associated with sexual satisfaction or relationship satisfaction. Gay and bisexual elderly men in this study tended to maintain their sexual identity hidden from others, possibly due to a lack of openness of the Portuguese society to accept homoaffective behavior. Implications for future research are discussed.

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  1. Accornero, G. (2014). O ‘25 de Abril’: uma revolução nas ciências sociais [April 25th: A revolution in the social sciences]. Ler História, 67, 171–177.

    Article  Google Scholar 

  2. American Psychological Association. (2014). Sexuality in aging. In P. Schwartz, S. Diefendorf, & A. McGlynn-Wright (Eds.), APA handbook of sexuality and psychology (pp. 523–551). Washington DC: American Psychological Association.

    Google Scholar 

  3. Ayalon, L. (2013). Feelings towards older vs. younger adults: Results from the European Social Survey. Educational Gerontology, 39, 888–901.

  4. Ayalon, L., & Tesch-Römer, C. (2017). Taking a closer look at ageism: Self- and other-directed ageist attitudes and discrimination. European Journal of Ageing, 14, 1–4.

  5. Balsam, K. F., & Mohr, J. J. (2007). Adaptation to sexual orientation stigma: A comparison of bisexual and lesbian/gay adults. Journal of Counseling Psychology, 54, 306–319.

  6. Barrientos, J., & Paez, D. (2006). Psychosocial variables of sexual satisfaction in Chile. Journal of Sex & Marital Therapy, 32, 351–368.

  7. Busby, D. M., Christensen, C., Crane, D. R., & Larson, J. H. (1995). A revision of the dyadic adjustment scale for use with distressed and nondistressed coplues: Construct hierarchy and multidimensional scales. Journal of Marital and Family Therapy, 21, 289–308.

  8. Carvalheira, A. A., & Costa, P. A. (2015). The impact of relational factors on sexual satisfaction among heterosexual and homosexual men. Sexual and Relationship Therapy, 30, 314–324.

  9. Costa, P. A., Pereira, H., & Leal, I. (2011). Desenvolvimento da escala revista de ajustamento diádico (RDAS) com casais do mesmo sexo [Development of the revised dyadic adjustment scale (RDAS) with same-sex couples]. In A. S. Ferreira, A. Verhaeghe, D. R. Silva, L. S. Almeida, & S. Fraga (Eds.), Actas do VIII Congresso Iberoamericano de Avaliação/Evaluación Psicológica (pp. 1231–1238). Lisbon: Portuguese Society of Psychology.

    Google Scholar 

  10. Costa, P. A., Pereira, H., & Leal, I. (2013). Internalized homonegativity, disclosure, and acceptance of sexual orientation in a sample of Portuguese gay and bisexual men, and lesbian and bisexual women. Journal of Bisexuality, 13, 229–244.

  11. Croghan, C. F., Moone, R. P., & Olson, A. M. (2014). Friends, family, and caregiving among midlife and older lesbian, gay, bisexual, and transgender adults. Journal of Homosexuality, 61, 79–102.

  12. D’Augelli, A., Grossman, A., Hershberger, S., & O’Connell, T. (2001). Aspects of mental health among older lesbian, gay, and bisexual adults. Aging & Mental Health, 5, 149–158.

  13. Davies, S., Katz, J., & Jackson, J. L. (1999). Sexual desire discrepancies: Effects on sexual and relationship satisfaction in heterosexual dating couples. Archives of Sexual Behavior, 28, 553–567.

    Article  Google Scholar 

  14. Dupras, A. (1994). Internalized homophobia and psychosexual adjustment among gay men. Psychological Reports, 75, 23–28.

  15. Emlet, C. A. (2006). “You’re awfully old to have this disease”: Experiences of stigma and ageism in adults 50 years and older living with HIV/AIDS. The Gerontologist, 46, 781–790.

  16. Erosheva, E. A., Kim, H. J., Emlet, C., & Fredriksen-Goldsen, K. I. (2015). Social networks of lesbian, gay, bisexual, and transgender older adults. Research on Aging, 38(1), 98–26.

  17. Fenkl, E. A. (2012). Aging gay men: A review of the literature. Journal of LGBT Issues in Counseling, 6, 162–182.

  18. Ferreira-Alves, J., & Novo, R. F. (2006). Avaliação da discriminação social de pessoas idosas em Portugal [Evaluation of social discrimination of older people in Portugal]. International Journal of Clinical and Health Psychology, 6, 65–77.

    Google Scholar 

  19. Fredriksen-Goldsen, K. I., Bryan, A. E., Jen, S., Goldsen, J., Kim, H. J., & Muraco, A. (2017). The unfolding of LGBT lives: Key events associated with health and well-being in later life. The Gerontologist, 57, 15–29.

  20. Fredriksen-Goldsen, K. I., Kim, H., Emlet, C. A., Muraco, A., Erosheva, E. A., Hoy-Ellis, C. P., Goldsen, J., & Petry, H. (2011). The aging and health report: Disparities and resilience among lesbian, gay, bisexual, and transgender older adults. Seattle: Institute for Multigenerational Health.

    Google Scholar 

  21. Fredriksen-Goldsen, K. I., Kim, H. J., Goldsen, J., Hoy-Ellis, C. P., Emlet, C. A., Erosheva, E. A., & Muraco, A. (2013). LGBT older adults in San Francisco: Health, risks, and resilience—findings from caring and aging with pride. Seattle: Institute for Multigenerational Health.

    Google Scholar 

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

  23. Frost, D. M., & Meyer, I. H. (2009). Internalized homophobia and relationship quality among lesbians, gay men, and bisexuals. Journal of Counseling Psychology, 56, 97–109.

  24. Herek, G. M. (2000). The psychology of sexual prejudice. Current Directions in Psychological Science, 9, 19–22.

  25. Herek, G. M. (2009). Sexual stigma and sexual prejudice in the United States: A conceptual framework. In D. A. Hope (Ed.), Contemporary perspectives on lesbian, gay, and bisexual identities (pp. 65–111). New York: Springer.

    Chapter  Google Scholar 

  26. Herek, G. M., Chopp, R., & Strohl, D. (2003). Sexual stigma: Putting sexual minority health issues in context. In I. H. Meyer & M. E. Northridge (Eds.), The health of sexual minorities (pp. 171–208). New York: Springer.

    Google Scholar 

  27. Hillman, J. (2017). The sexuality and sexual health of LGBT elders. Annual Review of Gerontology and Geriatrics, 37, 13–26.

  28. ILGA-Europe. (2018, December). Rainbow Europe: countries ranking. Retrieved of

  29. ILGA-Portugal. (2018). Homofobia e transfobia: Dados da discriminação em Portugal 2017 [Homophobia and transphobia: Discrimination data in Portugal 2017]. Lisbon: Observatory of discrimination based on sexual orientation and gender identity.

    Google Scholar 

  30. Instituto Nacional de Estatísticas (INE). (2017). Projeções de população residente 2015–2080 [Projections of resident population 2015–2080]. Lisbon: Author.

    Google Scholar 

  31. Kim, O., & Jeon, H. O. (2013). Gender differences in factors influencing sexual satisfaction in Korean older adults. Archives of Gerontology and Geriatrics, 56, 321–326.

  32. Kimmel, D. C., Hinrichs, K. L. M., & Fisher, L. D. (2015). Understanding lesbian, gay, bisexual, and transgender older adults. In P. A. Lichtenberg, B. T. Mast, B. D. Carpenter, & J. L. Wetherell (Eds.), APA handbook of clinical geropsychology: History and status of the field and perspectives on aging (pp. 459–472). Washington DC: American Psychological Association.

    Google Scholar 

  33. King, S. D., & Richardson, V. E. (2016). Influence of income, being partnered/married, resilience, and discrimination on mental health distress for midlife and older gay men. Journal of Gay & Lesbian Mental Health, 20, 127–151.

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

  35. Lopes, D., Oliveira, J. M., Nogueira, C., & Grave, R. (2017). The social determinants of polymorphus prejudice against lesbian and gay individuals: The case of Portugal. Sexuality Research and Social Policy, 14, 56–70.

  36. Lyons, A., & Pepping, C. A. (2017). Prospective effects of social support on internalized homonegativity and sexual identity concealment among middle-aged and older gay men: A longitudinal cohort study. Anxiety, Stress, & Coping, 30, 585–597.

  37. Lyons, A., Pitts, M., & Grierson, J. (2013). Growing old as a gay man: Psychosocial wellbeing of a sexual minority. Research on Aging, 35, 275–295.

  38. Maroco, J. (2007). Análise estatística com utilização do SPSS (3ª Ed.) [Statistical analysis using SPSS]. Lisbon: Edições Sílabo.

    Google Scholar 

  39. Mayer, K. H., Bradford, J. B., Makadon, H. J., Stall, R., Goldhammer, H., & Landers, S. (2008). Sexual and gender minority health: What we know and what needs to be done. American Journal of Public Health, 98, 989-995.

  40. McParland, J., & Camic, P. M. (2016). Psychosocial factors and ageing in older lesbian, gay and bisexual people: A systematic review of the literature. Journal of Clinical Nursing, 25, 3415–3437.

  41. Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38–56.

  42. 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.

  43. Meyer, I. H., & Dean, L. (1998). Internalized homophobia, intimacy, and sexual behavior among gay and bisexual men. In G. M. Herek (Ed.), Stigma and sexual orientation: Understanding prejudice against lesbians, gay men, and bisexuals (pp. 160–186). Thousand Oaks, CA: Sage Publications.

    Chapter  Google Scholar 

  44. Muraco, A., & Fredriksen-Goldsen, K. I. (2016). Turning points in the lives of lesbian and gay adults age 50 and over. Advances in Life Course Research, 30, 124–132.

  45. Murray, J., & Adam, B. D. (2001). Aging, sexuality and HIV issues among older gay men. Canadian Journal of Human Sexuality, 10, 75–90.

    Google Scholar 

  46. Neville, S., Kushner, B., & Adams, J. (2015). Coming out narratives of older gay men living in New Zealand. Australasian Journal on Ageing, 34, 29–33.

  47. Nogueira, C., Oliveira, J. M., Almeida, M. V., Costa, C. G., Rodrigues, L., & Pereira, M. (2010). Estudo sobre a discriminação em função da orientação sexual e da identidade de género [Study on discrimination based on sexual orientation and gender identity]. Lisbon: Commission for Citizenship and Gender Equality (CIG).

    Google Scholar 

  48. Opus Gay. (2016). Inquérito População Idosa LGBT: Estudo realizado no concelho de Lisboa [LGBT Elderly Population Survey: A study carried out in the Lisbon municipality]. Lisbon: Author.

    Google Scholar 

  49. Palmore, E. (2001). The Ageism Survey. The Gerontologist, 41, 572–575.

  50. Pechorro, P. S., Pascoal, P. M., Jesus, S. N., Almeida, A. I., Figueiredo, C. S., & Vieira, R. X. (2016). Propriedades psicométricas da versão portuguesa da nova escala de satisfação sexual – versão curta [Psychometric properties of the Portuguese version of the new sexual satisfaction scale - short version]. Revista Internacional de Andrología, 14, 94–100.

  51. Pereira, H., Leal, I., & Marôco, J. (2010). Questionário de Identidade Homossexual [Homosexual Identity Questionnaire]. In I. Leal & J. Marôco (Eds.), Avaliação em Sexualidade e Parentalidade (pp. 43–55). Lisbon: Livpsic.

    Google Scholar 

  52. Pereira, H., & Monteiro, S. (2016). The role of political and legislative changes in the everyday lives of LGB individuals: The case of Portugal. Sexuality Research and Social Policy, 14, 300–309.

  53. Pereira, H., Serrano, J. P., Vries, B., Esgalhado, G., Afonso, R. M., & Monteiro, S. (2017). Aging perceptions in older gay and bisexual men in Portugal: A qualitative study. The International Journal of Aging and Human Development, 87, 5–32.

  54. Reis, H. T., & Sprecher, S. (2009). Gay, lesbian, and bisexual relationships. In H. T. Reis & S. Sprecher (Eds.), Encyclopedia of human relationships (pp. 746–751). California: SAGE Publications.

    Chapter  Google Scholar 

  55. Šević, S., Ivanković, I., & Štulhofer, A. (2015). Emotional intimacy among coupled heterosexual and gay/bisexual Croatian men: Assessing the role of minority stress. Archives of Sexual Behavior, 45, 1259–1268.

  56. Smith, A., Lyons, A., Ferris, J., Richters, J., Pitts, M., Shelley, J., & Simpson, J. M. (2011). Sexual and relationship satisfaction among heterosexual men and women: The importance of desired frequency of sex. Journal of Sex & Marital Therapy, 37, 104–115.

  57. Stonewall. (2011). Lesbian, gay and bisexual people in later life. London: Author.

    Google Scholar 

  58. Štulhofer, A., Buško, V., & Brouillard, P. (2010). Development and bicultural validation of the New Sexual Satisfaction Scale. Journal of Sex Research, 47, 257–268.

  59. 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, 1411–1416.

  60. Træen, B., Carvalheira, A., Kvalem, I. L., Štulhofer, A., Janssen, E., Graham, C. A., Hald, G. M., & Enzlin, P. (2016). Sexuality in older adults (65+)—an overview of the recent literature, part 2: Body image and sexual satisfaction. International Journal of Sexual Health, 29, 11–21.

  61. Træen, B., Carvalheira, A. A., Hald, G. M., Lange, T., & Kvalem, I. L. (2018). Attitudes towards sexuality in older men and women across Europe: Similarities, differences, and associations with their sex lives. Sexuality & Culture, advanced online., 23, 1–25.

  62. United Nations (UN). (2015). World population prospects: The 2015 revision, key findings and advance tables. New York: Author.

    Google Scholar 

  63. Von Humboldt, S., Leal, I., & Monteiro, A. (2016). Are older adults well sexually? Sexual well-being among a cross-national sample of older adults. Review of European Studies, 8, 134–144.

  64. Wight, R. G., LeBlanc, A. J., Meyer, I. H., & Harig, F. A. (2015). Internalized gay ageism, mattering, and depressive symptoms among midlife and older gay-identified men. Social Science & Medicine, 147, 200–208.

  65. Williams, M. E., & Fredriksen-Goldsen, K. I. (2014). Same-sex partnerships and the health of older adults. Journal of Community Psychology, 42, 558–570.

  66. World Health Organization (WHO). (2010). Measuring sexual health: Conceptual and practical considerations and related indicators. Geneva: Author.

    Google Scholar 

  67. World Health Organization (WHO). (2015). World report on ageing and health. Geneva: Author.

    Google Scholar 

  68. Yarns, B. C., Abrams, J. M., Meeks, T. W., & Sewell, D. D. (2016). The mental health of older LGBT adults. Current Psychiatry Reports, 18, 1–11.

  69. Zapiain, J. G. (2013). La psicología de la sexualidad [The psychology of sexuality]. Madrid: Alianza Editorial.

    Google Scholar 

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Correspondence to José Alberto Ribeiro Gonçalves.

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Gonçalves, J.A.R., Costa, P.A. & Leal, I. Minority Stress in Older Portuguese Gay and Bisexual Men and Its Impact on Sexual and Relationship Satisfaction. Sex Res Soc Policy 17, 209–218 (2020).

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  • LGB elderly
  • Sexual identity
  • Sexual prejudice
  • Concealment of sexual identity
  • Relationship health
  • Sexual health
  • Gender