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al., 2013c). Some studies looked specifically at sexually risky behavior among gay and bisexual men who reported HIV positive. A high proportion of HIV positive gay men and bisexual men reported engaging in sexually risky behavior (Golub et al., 2010; Emlet et al., 2015), and other health risks such as substance abuse were associated with sexually risky behavior (Brennan-Ing, Porter, Seidel, & Karpiak, 2014). Other studies found that internalized homophobia was associated with excessive drinking, drug use, and engagement in sexually risky behavior (Lelutiu-Weinberger et al., 2013; Highlights from the 2015 Denver convening: Evaluating Emlet et al., 2015). and Enhancing Aging Network Outreach to LGBT Older Adults Health Services Heterosexual framework impacts medical services for LGBT older adults One common theme that emerged from the 2015 Denver convening was the challenge of finding trained, qualified, and culturally sensitive health providers. LGBT elders felt they were not represented within the healthcare system and that physicians still operated within a heterosexual framework. Many are not asked about their sexual orientation and assume patients are heterosexual. Some still operate under the idea that homosexuality is a mental illness: Pat Hussain, cofounder of GLAD in Atlanta, GA, recalled how a physician seeing a patient with PTSD asked “are you depressed because you are gay?� Pat advocates for training and materials to be updated in regards to LGBT older adult health issues. Troy Johnson of Senior Pride Initiative /Center of Halsted in Chicago brought to light how health services friendly to LGBT older adults are particularly scarce in the South and a major challenge for LGBT advocates is bridging the gap between the supply and demand of LGBT friendly service providers and LGBT older adults in need of care. Even among service providers who are interested in creating an LGBT friendly environment, mainstream service offerings are prioritized, according to Chris Kerr, Clinical Director of Montrose Center.


Health services for LGBT older adults can be challenging as access and utilization of health services is complicated by fear of discrimination and poor treatment. In this section, we explore LGBT older adults and their attitudes about advancedcare or end-of-life care as well as the attitudes and experiences of providers who serve older adults.

Advanced-Care/ End-of-life Care Fear and anxiety that LGBT older adults feel toward health care is further exacerbated in situations in which long-term care or advanced-care is needed (Brotman, et al., 2003; Stein, Beckerman & Sherman, 2010). Thus, older lesbians and gay men tend to delay entering residential care (Claes & Moore, 2000) and the majority believe health care providers would discriminate against them based on their sexual orientation (Johnson et al., 2005). Almost 75% of respondents in one study believed that residential

Lgbt aging a review  
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...