Cognitive Impairment, Alzheimer’s Disease, and Other Dementias in the Lives of Lesbian, Gay, Bisexual and Transgender (LGBT) Older Adults and Their Caregivers: Needs and Competencies
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Cognitive impairment, Alzheimer’s disease, and other dementias are important health concerns for older adults. As a marginalized and growing segment of the older adult population, lesbian, gay, bisexual, and transgender (LGBT) older adults face distinct risk factors related to cognitive impairment and dementias, including social isolation, discrimination, barriers to health care access, limited availability of and support for caregivers, and higher rates of certain chronic illnesses. We examine cognitive impairment and dementias among LGBT older adults, describe their unique risk factors, and outline key competencies for health care and human service providers to ensure culturally relevant care for LGBT older adults experiencing cognitive impairment, Alzheimer’s disease, or other dementias, as well as their caregivers, families, and communities. Implications include developing an awareness of the context of LGBT older adults’ lives and relationships, the importance of early detection and support, and the development of policies and practices that promote community-level advocacy and education.
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Living alone with dementia may be especially challenging for LGBT individuals, who may face greater isolation from social stigma and smaller caregiver networks.
“Living alone with dementia may be a particular challenge for certain subgroups, such as lesbian, gay, bisexual and transgender (LGBT) individuals, who may experience greater isolation due to potential social stigma and a diminished social network of available family or friend caregivers.404,405”
From 2023 Alzheimer's disease facts and figures (2023) · cites this paper as [405]
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- Authors
- Fredriksen-Goldsen, K. I., Jen, S., Bryan, A. E. B., & Goldsen, J.
- Affiliations
- University of Washington, Seattle, WA, USA
- University of Washington (US)
- ORCID
- Jen, Sarah
- Venue
- Journal of Applied Gerontology
- Publisher
- SAGE Publications
- Published
- 2016-10-10
- Volume
- 37
- Issue
- 5
- Pages
- 545-569
- ISSN
- 0733-4648 (ISSN-L)
- 1552-4523
- PMC
- PMC5383534
- OpenAlex
- W2530784887
- Cited by
- 148
- References
- 51
- Citations by year
- 2026: 21 · 2025: 17 · 2024: 12 · 2023: 21 · 2022: 24 · 2021: 20 · 2020: 15 · 2019: 12 · 2018: 3 · 2017: 3
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Applied Gerontology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01AG026526)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Keywords
- cognitive impairment, Alzheimer's disease, dementia, LGBT older adults, caregivers, social isolation, discrimination, health care access, culturally relevant care, provider competence, early detection, community advocacy, family caregiving
- MeSH terms
- Sexual and Gender Minorities, Aged, Alzheimer Disease, Attitude of Health Personnel, Clinical Competence, Humans, Interpersonal Relations, Risk Factors, Social Support, Caregivers, Needs Assessment, Cognitive Dysfunction, Culturally Competent Care
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