title: Healthy Aging in Community for Older Lesbians.
abstract: OBJECTIVE
  In Boston and Outer Cape, Massachusetts, we explored the expectations of lesbians 60 years and older regarding healthy aging and community importance.
  
  
  METHODS
  Focus groups were conducted with participants after completing an anonymous demographic questionnaire. Thematic analysis was used to generate themes and identify how they varied by urban versus rural settings.
  
  
  RESULTS
  Group discussions focused on community, finances, housing, and healthcare. Primary concerns included continued access to supportive and lesbian communities as a source of resilience during aging.
  
  
  CONCLUSIONS
  Concerns about discrimination and isolation mirror themes found in national research. The study findings suggest a need for more research into the housing and transportation needs of lesbians approaching later life, with a focus on how those needs relate to affordability, accessibility, and proximity to social support and healthcare. These findings also suggest the need for substantial investments in strengthening the LGBT-related cultural competence of providers of services for the elderly.
authors.affiliation: 1 The Fenway Institute , Boston, Massachusetts.
authors.forename: Judith B
authors.initials: JB
authors.lastname: Bradford
authors.affiliation: 1 The Fenway Institute , Boston, Massachusetts.|2 Simmons College , Boston, Massachusetts.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Putney
authors.affiliation: 3 Outer Cape Health Services , Wellfleet, Massachusetts.
authors.forename: Bonnie L
authors.initials: BL
authors.lastname: Shepard
authors.affiliation: 1 The Fenway Institute , Boston, Massachusetts.
authors.forename: Samantha E
authors.initials: SE
authors.lastname: Sass
authors.affiliation: 3 Outer Cape Health Services , Wellfleet, Massachusetts.
authors.forename: Sally
authors.initials: S
authors.lastname: Rudicel
authors.affiliation: 1 The Fenway Institute , Boston, Massachusetts.
authors.forename: Holly
authors.initials: H
authors.lastname: Ladd
authors.affiliation: 1 The Fenway Institute , Boston, Massachusetts.
authors.forename: Sean
authors.initials: S
authors.lastname: Cahill
mesh_terms: D000368:Aged; D000375:Aging / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D054625:Healthcare Disparities; D018452:Homosexuality, Female / Q000523:psychology*; D006798:Housing; D006801:Humans; D008404:Massachusetts; D008875:Middle Aged; D011287:Prejudice; D012424:Rural Population; D000072339:Sexual and Gender Minorities / Q000523:psychology*; D012934:Social Isolation; D014505:Urban Population
keywords: aging; community; healthcare; healthy aging; housing; lesbian