Abstract
As people age, social support systems are essential, especially for LGBT persons who might be at greater risk of social isolation. Each person has a different experience and subsequent propensity for isolation. For many LGBT elders, social inclusion continues to be aspirational, with limited authentic and sustained progress having been made in this area. In this chapter, the influencing issues of socialization and inclusion/exclusion of LGBT elders are examined. The unique circumstances across the life span for LGBT elders that may either help or hinder opportunities for socialization and inclusion are discussed. Social inclusion to successful aging of LGBT elders is reviewed to gain insight into some of the explanations of their withdrawal from social and recreational functions. The significance of family involvement is explored. Finally, policy on social inclusion of elders is presented.
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References
Acierno, R., Hernandez, M. A., Amstadter, A. B., Resnick, H. S., Steve, K., Muzzy, W., & Kilpatrick, D. G. (2010). Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States. The National Elder Mistreatment Study. American Journal of Public Health, 100, 292–297. doi:10.2105/ajph.2009.163089.
Adelman, M., Gurevitch, J., de Vries, B., & Blando, J. A. (2006). Openhouse: Community building and research in the LGBT aging population. In D. Kimmel, T. Rose, & S. David (Eds.), Lesbian, gay, bisexual, and transgender aging: Research and clinical perspectives (pp. 247–264). New York, NY: Columbia University Press.
Alley, D., Liebig, P., Pynoos, J., Banerjee, T., & Choi, I. H. (2007). Creating elder-friendly communities: preparations for an aging society. Journal of Gerontological Social Work, 49, 1–18.
Allman, D. (2013). The sociology of social inclusion. Retrieved March 14, 2014 from http://sgo.sagepub.com/content/3/1/2158244012471957.full.print.
Austrian Government. (n.d.). Social inclusion principles for Austria. Retrieved January 2, 2015 from www.meetingpoint.org.au/assets/mp_s12_sipfa.pdf.
Baernholdt, M., Yan, G., Hinton, I., Rose, K., & Mattos, M. (2012). Quality of life in rural and urban adults 65 years and older: Findings from the National Health and Nutrition Examination Survey. The Journal of Rural Health, 28, 339–347.
Beard, J. R., & Petitot, C. (2010). Ageing and urbanization: Can cities be designed to foster active aging? Public Health Review, 32(2), 427–450.
Biordo, D. L., Nicholson, & Social isolation, N. R. (2009). Chronic illness: Impact and interventions (7th ed.). Sudbury, MA: Jones and Bartlett Publishers.
Boardman, J. (2010). Concepts of social exclusion. In J. Boardman, A. Currie, H. Killaspy & G. Mezey (Eds.), Social inclusion and mental health (pp. 10–12). RC Psych Publications.
Brennan-Ing, M., Seidel, L., Larson, B., & Kariak, S. E. (2014). Social care networks and older LGBT adults: Challenges for the future. Journal of Homosexuality, 61(1), 21–52.
Brissette, I., Cohen, S., & Seeman, T. E. (2000). Measuring social integration and social networks. In S. Cohen, L. Underwood, & B. Gottlieb (Eds.), Social support measurement and intervention: A guide for health and social scientists (pp. 53–85). New York, NY: Oxford Press.
British Columbia Ministry of Health. (2004). Social isolation among seniors: An emerging issue. British Columbia, ON: Author.
Buckmaster, L., & Thomas, M. (2009). Social inclusion and social citizenship—Towards a truly inclusive society. Research paper no. 08 2009–10. Australia: Department of Parliamentary Services, Parliamentary Library.
Burchardt, T., Le Grand, J., & Piachaud, D. (2002). Introduction. In J. Hills, L. Le Grand, & D. Piachaud (Eds.), Understanding social exclusion (pp. 1–2). Oxford: Oxford University Press.
Cacioppo, J. T., Hawkley, L. C., & Thisted, R. A. (2010). Perceived social isolation makes me sad: 5-year cross-lagged analyses of loneliness and depressive symptomatology in the Chicago Health, Aging, and Social Relations Study. Psychology and Aging, 25(2), 453–463.
Cacioppo, J., & Patrick, W. (2008). Loneliness: Human nature and the need for social connection. New York: W. W. Norton & Company.
Cantor, M. H., & Mayer, M. (1978). Factors in differential utilization of services by urban elderly. Journal of Gerontological Social Work, 1(1), 47–61.
Cantor, M. H., & Brennan, M. (2000). Social care of the elderly: The effects of ethnicity, class, and culture. New York: Springer.
Children’s, Women’s and Seniors Health Branch, British Columbia Ministry of Health. (2004). Social isolation among seniors: An emerging issue. Retrieved January 2, 2015 from http://www.health.gov.bc.ca/library/publications/year/2004/Social_Isolation_Among_Seniors.pdf.
Cobigo, V., Ouellete-Kuntz, H., Lysaght, R., & Martin, L. (2012). Shifting our conceptualization of social inclusion. Stigma Research and Action, 2(2), 75–84.
Cornwell, E. Y., & Waite, L. J. (2009). Social disconnectedness, perceived isolation, and health among older adults. Journal of Health and Social Behavior, 50(1), 31–48.
Crooks, V. C., Lubben, J., Petitti, D. B., Little, D., & Chiu, V. (2008). Social network, cognitive function, and dementia incidence among elderly women. American Journal of Public Health, 98(7), 1221–1227.
Cullinan, P. (2006). November-December). Late-life civic engagement enhances health for individuals and communities. The Journal on Active Aging, 5(6), 66–73.
Curtis, S., Copelan, A., Fagg, J., Congdon, P., Almong, M., & Fitzpatrick, J. (2006). The ecological relationship between deprivation, social isolation and rates of hospital admission for acute psychiatric care: A comparison of London and New York City. Health and Place, 12(1), 19–37.
De Vries, R., & Hoctel, P. (2007). The family, friends of older gay men and lesbians. In N. Teunis & G. Herdt (Eds.), Sexual inequalities and social justice (pp. 213–232). Berkeley, CA: University of California Press.
Diverse Elders Coalition. (2012). Securing our future: Advancing economic security for diverse elders. Retrieved December 27, 2014 from www.globalaging.org/health/us/2012/SecuringourFutureAdvancingEconomicSecurityforDiverseElders.pdf.
Dorfman, R. A., Lubben, J. E., Mayer-Oakes, A., Atchison, K., Schweitzer, S. O., DeJong, F. S., et al. (1995). Screening for depression among a well elderly population. Social Work, 40, 295−304.
Elder, K., and Retrum, J. (2012, May 30). Framework for isolation in adults over 50. Retrieved December 19, 2014 from www.aarp.org/content/dur/aarp/aarp_foundation/2012_PDFs/AARP-Foundation-Isolation-Report-Framework-Highlights.pdf.
Espinoza, R. (2013). Friendship a pillar of survival for LGBT elders. Aging Today, 34(3), 1–3.
Espinoza, R. (2014). Out & visible: The experiences and attitudes of lesbian, gay, bisexual and transgender older adults, Ages 45–75. New York, NY: SAGE.
Fokkema, C. M., & Kuyper, L. (2009). The relationship between social embeddedness and loneliness among older lesbian, gay, and bisexual adults in the Netherlands. Archives of Sexual Behavior, 38, 264–275.
Fredriksen-Goldsen, K. I., Kim, H. J., E, Let, C. A., Muraco, A., Erosheva, E. A., Hoy-Ellis, C. P. et al. (2011). The aging and health report: Disparities and resilience among lesbian, gay, bisexual, and transgender older adults. Seattle: Institute for Multigenerational Health.
Funders for Lesbian and Gay Issues. (2004). Aging in equity: LGBT elders in America. Author.
Grant, J. M., Mottet, L. A., Tanus, J., Harrison, J., Herman, J. L., & Keisling, M. (2011). Injustice at every turn: A report of the National Transgender Discrimination Survey. Washington, DC: National Center for Transgender Equality and National Gay and Lesbian Task Force.
Hillman, J. (2012). Sexuality and aging with LGBT populations. Sexuality and aging: Clinical perspectives. New York, NY: Springer Science Business Media.
Irizarry, N. (2011, April 25). All in the family: Looking at the intersection of family, community and disclosure in the lives of gay and lesbian elders. Undergraduate Library Research Award. Paper 3. Digital Commons at Loyola Marymount University and Loyola Law School Retrieved August 26, 2014 from http://digitalcommons.lmu.edu/ulra/awards/2011/3.
James, J. B., Besen, m E, Matz-Costa, C., & Pitt-Catsouphes, M. (2012). Engaged as we age. Boston: Boston College, The Sloan Center on Aging and Work.
Kim, H. J., & Fredriksen-Goldsen, K. I. (2014). Living arrangement and loneliness among lesbian, gay, and bisexual older adults. The Gerontologist.
King, A. C., & King, D. K. (2010). Physical activity for an aging population. Public Health Reviews, 32(2), 401–426.
Kuyper, L., & Fokkema, T. (2010). Loneliness among older lesbian, gay, and bisexual adults: The role of minority stress. Archives of Sexual Behavior, 39, 1171–1180.
Lawton, M. P., & Nahemow, L. (1973). Ecology and the aging process. In C. Eisdorfer & L. Nashemow (Eds.), The psychology of adult development and aging (pp. 464–488). Washington, DC: American Psychology Association.
Lenoir, R. (1974). Les Exclus: Un Francais sur Dix. Edition du Seuil.
Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38–56.
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.
Movement Advancement Project and SAGE. (2010). Improving the lives of LGBT older adults. New York: Author.
Muraco, A., LeBlanc, A. J., & Russell, S. T. (2008). Conceptualizations of family by older gay men. Growing Older: The millennial LGBTs, 20, 69–90.
Nusser, S. P. (2010). What would a non-heterosexist city look like? A theory on queer spaces and the role of planners in creating the inclusive city. Thesis, Massachusetts Institute of Technology, Cambridge, MA: Department of Urban Studies and Planning. Available at http://dspace.mit.edu/handle/1721.1/59581.
Oldham, J. M., & Morris, L. B. (1995). The new personality self-portrait: Why you think, work, love, and act the way you do. New York, NY: Bantam.
Orel, N. (2004). Gay, lesbian and bisexual elders: Expressed needs across focus groups. Journal of Gerontological Social Work, 43, 57–77.
Ortiz, H. (2011). Crossing new frontiers: Benefits access among isolated seniors. National Center for Benefits Outreach and Enrollment (NCBOE). National Council on Aging. Retrieved August 26, 2014 from www.CenterforBenefits.org.
Plumb, M., & Associates. (2003–2004). SAGE national needs assessment: A report prepared for senior action in a gay environment. Retrieved November 6, 2014 from www.marjplumb.com/pdfs/SAGENationalNeedsAssessment.pdf.
Rafaelic, A. C. (2012). The importance of social inclusion in personalized care. Dialogue in Praxis: A Social Work International Journal, 1(14), 141–149.
Repper, J., & Perkins, R. (2003). Social inclusion and recovery: A model for mental health practice. London: Elsevier Health Sciences.
Rimmerman, A. (2013). Social inclusion of people with disabilities: National and international perspectives. Cambridge: Cambridge University Press.
Rosenbloom, S. (2009). Meeting transportation needs in an aging-friendly community. Generations, 33(2), 33–43.
Tomaka, J., Thompson, S., & Palacio, R. (2006). The relation of social isolation, loneliness, and social support to disease outcomes among the elderly. Journal of Aging and Health, 18(3), 359–384.
U.S. Department of Health and Human Services. (2011). Affordable Care Act to improve data collection, reduce health disparities. Washington, DC: Author.
Walker, J., & Herbitter, C. (2005). Aging in the shadows: Social isolation among seniors in New York City. New York, NY: United Neighborhood Houses of New York.
Zians, J. (2011). LGBT San Diego’s trailblazing generation: Housing & related needs of LGBT seniors. Retrieved October 2, 2014 from www.thecentersd.org/pdf/programs/senior-needs-report.pdf.
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Appendices
Learning Exercises
Self-check Questions
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1.
What are the ways in which older lesbians and older gay men differ in how they are perceived by younger lesbians and gay males?
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2.
What are some of the societal factors that contribute to the degree in which the elderly become isolated?
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3.
In comparison with heterosexual elders, how do LGBT elders differ in their social support systems?
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4.
What are some contextual factors for isolation in later life?
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5.
How does social isolation differ from a solitary lifestyle?
Field-Based Experiential Assignments
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1.
Conduct a survey of staff at a senior citizen center to determine their attitudes toward inclusion of LGBT elders.
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2.
Work with a senior citizen center, a church, or a senior living community to develop inclusive programming and activities for LGBT elders.
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3.
Develop a documentary on “A Day in the Life of an LGBT Elder.”
Multiple-Choice Questions
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1.
Which of the following LGBT elders are more likely to report that people from their faith communities are part of their support networks?
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(a)
African Americans
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(b)
Asian Americans
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(c)
Hispanic Americans
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(d)
White Americans
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(a)
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2.
Which of the following is considered an important component to age independently and maintain quality of life?
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(a)
Recreation
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(b)
Faith community
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(c)
Social care network
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(d)
Culturally competent service providers
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(a)
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3.
Which of the following is a primary underlying factor determining the prevalence of those considered as isolated?
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(a)
Age of spouse/partner
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(b)
Living status
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(c)
Low self-esteem
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(d)
Genetics
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(a)
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4.
Feeling safe to leave one’s home, access to transportation, and availability of local events describe which of the following risk factors for isolation?
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(a)
Societal-level risk factors
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(b)
Personal-level risk factors
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(c)
Geographical-level risk factors
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(d)
Community-level risk factors
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(a)
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5.
Which of the following group of LGBT elders report a greater sense of rejection because of physical and sexual changes?
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(a)
Lesbians
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(b)
Gay men
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(c)
Bisexual women
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(d)
Bisexual men
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(a)
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6.
Which of the following contributes to higher levels of loneliness among older LGBT persons?
-
(a)
Minority stress
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(b)
External subjective events
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(c)
Internalized homophobia
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(d)
All of the above
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(e)
None of the above
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(a)
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7.
Denial of services, harassment from providers and heterosexual elders, and having specific needs ignored at mainstream centers and programs lead to which of the following behaviors in LGBT elders?
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(a)
Concealing their sexual identity
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(b)
Advocating for inclusion
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(c)
Accepting marginalization
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(d)
Dismissing heterosexism
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(a)
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8.
Which of the following demographic trends may exacerbate social isolation and loneliness in the future of LGBT Baby Boomers?
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(a)
Decreased longevity than previous generations
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(b)
Larger number of children than previous generations
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(c)
Smaller family size in the family of origin
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(d)
Less mobility
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(a)
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9.
The types of neighborhood in which LGBT elders live suggest that communities are more conducive to which of the following?
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(a)
Accessing services
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(b)
Aging in place
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(c)
Civic engagement
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(d)
Employment contacts
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(a)
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10.
In which areas can isolation of elders be found?
-
(a)
Rural
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(b)
Densely populated
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(c)
Urban
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(d)
Only a
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(e)
All of the above
-
(a)
Key
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1-a
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2-c
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3-b
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4-d
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5-b
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6-d
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7-a
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8-c
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9-a
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10-e
Resources
Diverse Elders Coalition: www.diverseelders.org
FORGE Transgender Aging Network: www.forge-forward.org
Human Rights Campaign: www.hrc.org/index.htm
LGBT Eder Initiative: www.lgbtei.org
National Resource Center on LGBT Aging: www.lgbtagingcenter.org
Old Lesbians Organizing for Change: www.oloc.org
Osage, P., & McCall, M. (2012). Connecting with socially isolated seniors: A service provider’s guide. Baltimore, MD: Health Professions Press.
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Harley, D.A., Gassaway, L., Dunkley, L. (2016). Isolation, Socialization, Recreation, and Inclusion of LGBT Elders. In: Harley, D., Teaster, P. (eds) Handbook of LGBT Elders. Springer, Cham. https://doi.org/10.1007/978-3-319-03623-6_30
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