Functional Limitations and Access to Long-Term Services and Supports Among Sexual Minority Older Adults

Jasmine L. Travers, Tetyana P. Shippee, Jason D. Flatt, Billy A. Caceres

Research output: Contribution to journalArticlepeer-review


Objective: Little is known about sexual minority (SM) older adults’ activities of daily living (ADL) and instrumental activities of daily living (IADL) limitations and their subsequent access to long-term services and supports (LTSS). Methods: We analyzed cross-sectional data from the 2016 Health and Retirement Study limited to individuals ≥50 years old. Bivariate analyses were performed to examine 1) sexual identity differences in the prevalence of ADL/IADL limitations and 2) associations of sexual identity with having ADL/IADL limitations and having access to help with ADL/IADL limitations. Results: Our sample consisted of 3833 older adults, 6% (n = 213) were SM. Compared to heterosexual participants, bisexual older adults had greater reports of ADL/IADL limitations (20.9% vs. 35.9%, p = 0.013). Among those who reported having ADL/IADL limitations (n = 803), there were no sexual identity differences in accessing help for ADL/IADL limitations (p =.901). Discussion: Our findings contribute to the limited research on LTSS access among SM older adults.

Original languageEnglish (US)
Pages (from-to)2056-2062
Number of pages7
JournalJournal of Applied Gerontology
Issue number9
StatePublished - Sep 2022


  • Activities of Daily Living
  • Aged
  • Cross-Sectional Studies
  • Humans
  • Prevalence
  • Retirement
  • Sexual and Gender Minorities

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology


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