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the need for public awareness among the general and affected communities and businesses, as well as the evaluation and development of ways to strengthen the reporting, investigative, legislative, and judicial processes. 7. Establish a suicide prevention program that targets LGBT older adults. An alarming finding is the number of participants that contemplated suicide within the past 12 months. Many health issues emerge in this study including relatively high rates of disability, and poor physical and mental health, which in previous research has been found to be associated with increased risk of depression, which in turn can increase the risk of suicide. 8. Provide training and services to help LGBT older adults as well as providers anticipate future aging and health planning needs. Our findings reveal there are unmet planning needs that warrant attention, including last will and testament, and powers of attorney for health care and finances. An area that warrants attention is that LGBT participants who are not married or partnered report the lowest rates of having a will, powers of attorney for health care and finances, and revocable/irrevocable trust. 9. Promote advocacy to ensure that the needs of LGBT older adults continue to be addressed in local and state planning processes, such as the development of the Area Plan. Given the array of unaddressed needs that have been identified in this report, it is important that LGBT older adults be considered as an at-risk and vulnerable population, with their particular needs addressed in the City’s planning processes designed to address aging related needs of older adults. 10. Collect quality data on the aging and health needs of LGBT older adults. Recent federal mandates have advanced the inclusion of sexual orientation and gender identity questions in public health surveys. It is imperative that San Francisco include sexual orientation, sexual behavior, and gender identity questions in City sponsored aging and health surveys and other data collection tools. Such information is critically needed so that these communities are considered in planning and service development. A more complete understanding of the needs of San Francisco’s aging LGBT population will only be accomplished when sexual orientation and gender identity are in both aging and non-aging related City data-bases. 11. Develop a strategy to successfully reach racial and ethnic minorities, bisexuals, and transgender adults and continue to advance and enhance research with and for diverse LGBT older adults. An important goal of this study was to reach out to diverse LGBT older adults, who have not typically been included in studies of LGBT aging. Even with extensive outreach efforts and making the survey available in five different languages, reaching racial and ethnic minorities, bisexuals, and transgender older adults was difficult. These older adults may experience high levels of isolation as they age, higher than that of the general population. In future research it will be important to test the use of language related to sexual orientation and gender identity, and differing recruitment strategies for diverse populations. It is clear that the LGBT participants have important strengths and resources that can foster their aging, health, and well-being, yet they also face significant risks, which can increase their vulnerability as they age. Through a better understanding of their lived experiences, policymakers and other key stakeholders can initiate program, policy, and research initiatives to better serve the needs of older LGBT adults who live in San Francisco. 6

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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