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

doi:10.1177/07334648221099006

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

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Research output: Contribution to journal › Article › peer-review

Abstract

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 language	English (US)
Pages (from-to)	2056-2062
Number of pages	7
Journal	Journal of Applied Gerontology
Volume	41
Issue number	9
DOIs	https://doi.org/10.1177/07334648221099006
State	Published - Sep 2022

Keywords

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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title = "Functional Limitations and Access to Long-Term Services and Supports Among Sexual Minority Older Adults",

abstract = "Objective: Little is known about sexual minority (SM) older adults{\textquoteright} 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.",

keywords = "Activities of Daily Living, Aged, Cross-Sectional Studies, Humans, Prevalence, Retirement, Sexual and Gender Minorities",

author = "Travers, {Jasmine L.} and Shippee, {Tetyana P.} and Flatt, {Jason D.} and Caceres, {Billy A.}",

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AU - Flatt, Jason D.

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N1 - Publisher Copyright: © The Author(s) 2022.

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N2 - 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.

AB - 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.

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

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