D3-4: The Intersection of Ageism and Heterosexism: LGBT Older Adults' Perspectives on Aging-in-Place

Abstract

Background/Aims Successful aging in place models promote independence, include older adults in decision-making, create an environment of personal and physical safety, facilitate social support, and provide services to enhance the health and quality of life of older adults within the communities in which they live. The applicability of aging in place models for disenfranchised groups is an important consideration. The current study, undertaken as part of a larger community-research partnership, examined the adequacy of this approach with older LGBT adults in a metropolitan neighborhood. Methods This qualitative study used focus groups (n = 14), interviews (n = 29), and a town hall (n = 30) to assess barriers and supports for LGBT persons to age in place. Results Most of the 73 participants identified as lesbian or gay, were aged 50–69, and lived with a partner. Discrimination and dual stigmatization (ageism plus heterosexism) emerged as cross-cutting themes that negatively impacted the aging in place categories of healthcare, housing, social support, home assistance and legal services. Establishing welcoming social spaces, disseminating knowledge resources, and promoting self-advocacy were suggested solutions. Conclusions This study provides a unique contribution to knowledge about the needs of LGBT older adults pertaining to aging in place. While resilience and coping skills developed at younger ages during the “coming out” process can continue to be leveraged in later years, LGBT seniors who are less “out” are likely particularly vulnerable to the challenges presented by the intersection of ageism and heterosexism. This research offers recommendations for tailoring current aging in place models to better suit the needs of LGBT older adults.