Addressing the Needs of LGBT Older Adults in San Francisco: Recommendations for the Future

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months. These include community health centers, medication management, chronic illness management, and emergency room visits as well as HIV services. Education Compared to LGBT participants with a 4-year college degree or more, those with less than a 4-year degree are at greater risk of poor general health, physical disability, frequent limited activities due to poor mental health, and HIV/AIDS. They are more likely to use community health centers and medication management. Relationship status LGBT participants who are not partnered or married are more likely to report poor general health than those who are in relationships, regardless of whether those relationships are legally recognized or not. Those not in relationships are at greater risk of physical disability than those in legally recognized relationships. LGBT adults in legally recognized relationships have significantly lower rates of HIV/AIDS and past-year suicidal ideation than those in relationships that are not legally recognized, or those not in a relationship. LGBT adults in legally recognized relationships are less likely to have accessed community health centers than those whose relationships are not legally recognized, or those not in relationships. Living arrangement LGBT participants who live alone are at risk for poorer outcomes on all assessed health indicators, compared to those who live with others. Those who live alone are more likely to have poor general health, a physical disability, poor mental health, HIV/AIDS, and past-year suicidal ideation. HIV/AIDS Compared to their HIV-negative counterparts, LGBT participants living with HIV/AIDS are more likely to have physical disabilities, and to use community health centers, medication management, chronic illness management, and insurance counseling. Summary The majority of LGBT participants enjoy good physical and mental health; even still, there are significant rates of poor general health, physical disability, HIV/AIDS, and a number of LGBT adults have seriously considered taking their own lives in the past 12 months. Those generally at most risk of poor health are transgender participants, those whose incomes are at or below 200% of the FPL (i.e., lower income), those with less than a 4-year college degree (i.e., less education), and those living alone. LGBT participants in legally recognized relationships appear to be at the lowest risk. Nearly all LGBT participants have health insurance.

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