title: Perspectives of LGBTQ Older Adults on Aging in Place: A Qualitative Investigation.
abstract: This qualitative study conducted by a community-research partnership used multiple types of data collection to examine variables relevant for LGBTQ older adults who wished to age in place in their urban Denver neighborhood. Focus groups, interviews, and a town hall meeting were used to identify barriers and supports to aging in place. Participants (N = 73) identified primarily as lesbian or gay, aged 50-69, and lived with a partner. Ageism, heterosexism, and cisgenderism emerged as cross-cutting themes that negatively impact access to health care, housing, social support, home assistance, and legal services. Resilience from weathering a lifetime of discrimination was identified as a strength to handle aging challenges. Recommendations for establishing an aging in place model included establishing welcoming communities and resource centers and increasing cultural competence of service providers. This study provides a unique contribution to understanding the psychosocial, medical, and legal barriers for successfully aging in place.
authors.affiliation: a Institute for Health Research , Kaiser Permanente Colorado , Denver , Colorado , USA.
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Boggs
authors.affiliation: a Institute for Health Research , Kaiser Permanente Colorado , Denver , Colorado , USA.|b School of Medicine, University of Colorado ; School of Social Work, Colorado State University , Colorado , USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Dickman Portz
authors.affiliation: c Center for Behavioral Health Research and Services , University of Alaska Anchorage , Anchorage , Alaska , USA.
authors.forename: Diane K
authors.initials: DK
authors.lastname: King
authors.affiliation: a Institute for Health Research , Kaiser Permanente Colorado , Denver , Colorado , USA.
authors.forename: Leslie A
authors.initials: LA
authors.lastname: Wright
authors.affiliation: d AARP Alaska , Anchorage , Alaska , USA.|e Gay, Lesbian, Bisexual, and Transgender Community Center of Colorado , Denver , Colorado , USA.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Helander
authors.affiliation: f Department of Social Work , Metropolitan University of Denver , Denver , Colorado , USA.
authors.forename: Jessica H
authors.initials: JH
authors.lastname: Retrum
authors.affiliation: a Institute for Health Research , Kaiser Permanente Colorado , Denver , Colorado , USA.
authors.forename: Wendolyn S
authors.initials: WS
authors.lastname: Gozansky
mesh_terms: D000328:Adult; D000368:Aged; D063506:Ageism; D000375:Aging / Q000523:psychology; D003695:Delivery of Health Care; D005260:Female; D017144:Focus Groups; D006716:Homosexuality; D006798:Housing; D006801:Humans; D057187:Independent Living; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012111:Residence Characteristics; D000072339:Sexual and Gender Minorities; D012944:Social Support
keywords: Aging in place; LGBTQ; community-based participatory research; community-research partnership; older adults; qualitative methods