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study, Wallace and colleagues (2011) found that although gay and bisexual men had similar rates of heart disease as heterosexual men, they had a higher ratio of hypertension, diabetes, psychological distress symptoms, and physical disability. The study did not find any statistical differences between sexual minority women and heterosexual women on key health conditions such as diabetes, hypertension, and heart disease. Very little is known about transgender older adults and their physical health conditions. One study found that transgender older adults were at higher risk for poor physical health, disability, and depressive symptoms than non-transgender adults (Fredriksen-Goldsen et al., 2013b). Poor health outcomes were associated with gender identity, victimization and discrimination, lack of support, and health-related behaviors, though victimization and stigma explained poor health outcomes for most people.

HIV/AIDS The HIV epidemic has had a profound impact on the LGBT population and continues to have a lasting impact on the older generation physically, emotionally, and psychologically (Friend, 1991; Emlet et al., 2015). While there are no national HIV prevalence data for older LGBT adults, Fredriksen-Goldsen and colleagues (2011) found that 9% of a nationally surveyed nonprobability sample of LGBT older adults Highlights from the 2015 Denver convening: lived with HIV. Gay and bisexual men and transgender women, in particular, Evaluating and Enhancing Aging Network have high prevalence of HIV (Center for Outreach to LGBT Older Adults Disease Control, 2014; Herbst et al, 2008; Fredriksen-Goldsen, 2011). Social support for HIV positive seniors Furthermore, prevalence of HIV was higher for African Americans and HIV/AIDS programs and support networks for Hispanics, compared to White LGBT LGBT seniors are almost non-existent. This is true older adults (Fredriksen-Goldsen et al. even in cities like Los Angeles, California where 2011). In a New York City study, the LGBT-specific centers and services are more majority of LGB older adults living with common. Many elders do not think they can HIV were White, followed by Latinos contract HIV and those that are HIV positive are and African Americans (Karpiak & heavily stigmatized. Given the lack of support and Brennan, 2009). Results of comparison services, HIV positive LGBT seniors need to be analysis of HIV-positive LGBT older taught spiritual, mental, and social tools, such as adults with HIV-negative LGBT older a buddy or referral system for newly diagnosed adults show that HIV positive older elders to function successfully. adults have worse mental and physical health, disability, poorer health outcomes (such as cardiovascular - Herbie Taylor, active member of L.A. LGBTQ disease and rates of cancer), and a Center 27

Lgbt aging a review  

This report is a review of existing literature of lesbian, gay, bisexual, and transgender (LGBT) older adults and provides recommendations f...