title: Successful ageing in lesbian, gay and bisexual older people: a concept analysis.
abstract: OBJECTIVE
  The aim of this study was to report on an analysis of the concept of successful ageing in lesbian, gay and bisexual older people.
  
  
  BACKGROUND
  Research indicates that lesbian, gay and bisexual older people experience significant health disparities. Yet there is a lack of understanding on what factors contribute to successful ageing in this population. Nursing has lagged behind other disciplines in investigating the health of lesbian, gay and bisexual older people.
  
  
  METHODS
  A concept analysis using Rodgers' evolutionary method.
  
  
  METHODS
  Twenty studies were retrieved by searching PubMed, CINAHL, PsycInfo, EMBASE, Cochrane Library and Scopus for English-language peer-reviewed studies published from January 2004 to March 2014.
  
  
  METHODS
  The antecedents, attributes and consequences of the concept were identified through the Rodgers' method of concept analysis.
  
  
  RESULTS
  Attributes included support from families of origin and/or families of choice, access to lesbian, gay, and bisexual-friendly services and crisis competence. Self-realisation of lesbian, gay and bisexual identity (coming out to oneself) and age >50 were identified as antecedents. Three consequences of successful ageing in lesbian, gay and bisexual older people were social engagement, optimism and resilience.
  
  
  CONCLUSIONS
  Successful ageing in lesbian, gay and bisexual older people is defined as a subjective and multifactorial concept that is characterised by support from families of origin/families of choice, access to lesbian, gay, and bisexual-friendly services and the development of crisis competence skills which impact the ageing experience of LGB individuals.
  
  
  CONCLUSIONS
  Successful ageing models can provide a roadmap for developing culturally competent interventions to address key healthcare issues present in this population. The nursing profession's multidisciplinary knowledge and competence in providing health promotion makes nurses well positioned to take a leading role in reducing disparities of lesbian, gay and bisexual older people.
authors.affiliation: New York University College of Nursing, New York, NY, USA.
authors.forename: Billy A
authors.initials: BA
authors.lastname: Caceres
authors.affiliation: New York University College of Nursing, New York, NY, USA.|Rockefeller University, New York, NY, USA.
authors.forename: Mayu O
authors.initials: MO
authors.lastname: Frank
mesh_terms: D000367:Age Factors; D000375:Aging; D006297:Health Services Accessibility; D006801:Humans; D007398:Interpersonal Relations; D000067656:Optimism; D055500:Resilience, Psychological; D012649:Self Concept; D000072339:Sexual and Gender Minorities; D012944:Social Support
keywords: concept analysis; gay and bisexual; gerontology; lesbian; nursing; sexual minorities and health disparities