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Predicting perceived isolation among midlife and older LGBT adults: The role of welcoming service providers

제목
Predicting perceived isolation among midlife and older LGBT adults: The role of welcoming service providers
저자

Jie Yang ; Yoosun Chu ; Mary Anne Salmon

키워드
Cultural competency ; Environmental factors ; Isolated ; Protective factors ; Sexual minorities
발행연도
2018-10-01
발행기관
Oxford Universtiy Press
인용정보
The Gerontologist, vol. 58, no. 5, pp. 904 - 912
초록
Background and Objectives
Older lesbian, gay, bisexual, and transgender (LGBT) adults are more likely to live alone and less likely to have children compared with their heterosexual counterparts. The lack of immediate family system can render older LGBT adults particularly vulnerable to social isolation and its consequences. The current study utilizes social exclusion theory, which asserts that not only material resources but also engagement with and inclusion into the society are necessary for marginalized people to be integrated into the mainstream. The study examines whether aging service providers (e.g., senior centers, adult day care, transportation, employment services) who are perceived by older LGBT adults as welcoming to LGBT people may reduce this population’s perceived isolation.

Research Design and Methods
Data were collected through a needs assessment survey designed for the aging LGBT community in North Carolina. Adults aged 45 and over who self-identified as LGBT were recruited at several formal and informal groups. The survey yielded 222 valid responses. The outcome variable was perceived isolation. Key independent variables included having experienced welcoming aging service providers and living alone.

Results
After controlling for potential confounders and demographics, logistic regression results showed that having experienced welcoming aging service providers was a protective factor against perceived isolation and it also buffered the negative impact of living alone.

Discussion and Implications
The findings provided preliminary evidence for a new direction of intervention research—targeting LGBT cultural competence training for medical and social service providers.
Fulltext
https://doi.org/10.1093/geront/gnx092
ISSN
1758-5341
DOI
10.1093/geront/gnx092
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