The Greater St. Louis LGBT Health and Human Services Needs Assessment: an examination of the Silent and Baby Boom generations.

This study sought to understand differences and similarities between lesbian, gay, bisexual, and transgender (LGBT) Baby Boomers and members of the Silent generation in the greater St. Louis region in relation to perceived barriers to service use, LGBT identity disclosure, experiences of violence and victimization, and mental health. An online survey was completed by 118 Baby Boomers and 33 Silents. Baby Boomers were found to perceive more barriers to health care and legal services, have fewer legal documents in place, feel less safe in their communities, and have experienced an increased rate of verbal harassment compared to their predecessors. Differences may be attributed to higher levels of LGBT identity disclosure among Baby Boomers across their lifetime. These findings support the current work of Services and Advocacy for GLBT Elders Metro St. Louis, with implications for other communities, and shed light on the need for continued advancement in the development and implementation of programs as LGBT Baby Boomers age.