title: Differences by Sexual Orientation in Expectations About Future Long-Term Care Needs Among Adults 40 to 65 Years Old.
abstract: OBJECTIVE
  We examined whether and how lesbian, gay, and bisexual (LGB) adults between 40 and 65 years of age differ from heterosexual adults in long-term care (LTC) expectations.
  
  
  METHODS
  Our data were derived from the 2013 National Health Interview Survey. We used ordered logistic regression to compare the odds of expected future use of LTC among LGB (n = 297) and heterosexual (n = 13 120) adults. We also used logistic regression models to assess the odds of expecting to use specific sources of care. All models controlled for key socioeconomic characteristics.
  
  
  RESULTS
  Although LGB adults had greater expectations of needing LTC in the future than their heterosexual counterparts, that association was largely explained by sociodemographic and health differences. After control for these differentials, LGB adults were less likely to expect care from family and more likely to expect to use institutional care in old age.
  
  
  CONCLUSIONS
  LGB adults may rely more heavily than heterosexual adults on formal systems of care. As the older population continues to diversify, nursing homes and assisted living facilities should work to ensure safety and culturally sensitive best practices for older LGB groups.
authors.affiliation: All of the authors are with the Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis.
authors.forename: Carrie
authors.initials: C
authors.lastname: Henning-Smith
authors.affiliation: All of the authors are with the Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis.
authors.forename: Gilbert
authors.initials: G
authors.lastname: Gonzales
authors.affiliation: All of the authors are with the Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis.
authors.forename: Tetyana P
authors.initials: TP
authors.lastname: Shippee
mesh_terms: D000328:Adult; D000368:Aged; D005190:Family; D005260:Female; D006801:Humans; D016015:Logistic Models; D008134:Long-Term Care / Q000379:methods* / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D019529:Sexuality / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors