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Americans and Hispanics. LGBT Asian American participants have the highest need of caregiver support. The distributions of most service use rates by race/ethnicity reflect the patterns of service need rates described above; racial and ethnic differences in service use rates are found in meal site/free groceries, day programs, alcohol/substance abuse programs, caregiver support, health promotion, housing assistance, and a case manager/social worker. Income It should come as no surprise that income plays a significant role in the need for services and programs, especially among LGBT adults whose annual household incomes are at or below 200% of the federal poverty level (FPL). This low income group has more need for 10 service areas: in-home care, home-delivered meals, meal site/free groceries, door-to-door transportation, day programs, a case manager/social worker, mental health services, telephone/online referrals, health services, and housing assistance. This trend is similarly observed in the relationships between use rates and income at or below 200% of the FPL. Participants living in poverty are also more likely to use health promotion services. We find that the service use rate for day programs among those below poverty, despite their higher need for the service, are not different from the use rate among those above poverty level; this finding indicates that the need for day programs among those under poverty may be less likely to be met. In addition, when all the services are considered, participants at or below 200% of the FPL are more likely to experience unmet need than those above 200% of the FPL. Education In the general population, education is highly correlated with income (Marmot & Wilkinson, 2006), and as such, we would expect to find similar patterns of results examining education and needs. Indeed, participants who have less than a 4-year college degree have many needs that are similar to those whose incomes are at or below 200% of the FPL. Compared to their peers who have a 4-year degree or more, those with less education have more need for inhome services, home-delivered meals, meal site/free groceries, day programs, case manager/social worker, telephone/online referrals, and housing assistance. They also have a greater need for day programs and for veterans' services. Those with less education demonstrate higher use rates for in-home services, homedelivered meals, meal site/free groceries, case manager/social worker, housing assistance, and veterans' services. Relationship status The survey findings in terms of the association of service needs with relationship status provide evidence in support of the benefits of legal relationships among LGBT participants. Those who are in relationships that are not legally recognized tend to have rates of need similar to those who are not in relationships at all. Those in legally recognized relationships tend to have the lowest rates of need for services and programs, including in-home care, home delivered meals, meal site/free groceries, door-to-door transportation, day programs, case manager/social worker, mental health services, and housing assistance. Accordingly, we find that those in legally recognized relationships have the lowest service use rates in in-home care, home delivered meals, meal site/free groceries, day programs, 19

Profile for SAGE

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

This report examines results of a survey of more than 600 LGBT older adults in San Francisco in 2013.

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

This report examines results of a survey of more than 600 LGBT older adults in San Francisco in 2013.

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