title: 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.
abstract: 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.
authors.affiliation: 1 University of Washington, Seattle, WA, USA.
authors.forename: Karen I
authors.initials: KI
authors.lastname: Fredriksen-Goldsen
authors.affiliation: 1 University of Washington, Seattle, WA, USA.
authors.forename: Sarah
authors.initials: S
authors.lastname: Jen
authors.affiliation: 1 University of Washington, Seattle, WA, USA.
authors.forename: Amanda E B
authors.initials: AEB
authors.lastname: Bryan
authors.affiliation: 1 University of Washington, Seattle, WA, USA.
authors.forename: Jayn
authors.initials: J
authors.lastname: Goldsen
mesh_terms: D000368:Aged; D000544:Alzheimer Disease / Q000628:therapy; D001291:Attitude of Health Personnel; D017028:Caregivers / Q000523:psychology*; D002983:Clinical Competence; D060825:Cognitive Dysfunction / Q000628:therapy; D065246:Culturally Competent Care; D006801:Humans; D007398:Interpersonal Relations; D020380:Needs Assessment; D012307:Risk Factors; D000072339:Sexual and Gender Minorities / Q000331:legislation & jurisprudence / Q000523:psychology*; D012944:Social Support
keywords: Alzheimer’s; cultural competency; dementia; services