National LGBT Health Education Center at The Fenway Institute, Fenway Health, Boston, Massachusetts.
LGBT Aging Project at The Fenway Institute, Fenway Health, Boston, Massachusetts.
J Am Geriatr Soc. 2019 Aug;67(8):1565-1570. doi: 10.1111/jgs.15974. Epub 2019 May 29.
Lesbian, gay, bisexual, and transgender (LGBT) older adults face an increased risk of adverse behavioral health outcomes compared with the general population of older adults, yet little attention has been given to factors contributing to these disparities or to the ways in which clinicians can address these challenges. We present the case of a 75-year-old widowed lesbian woman with depression to illustrate how a lifetime of exposure to discrimination and stigma can produce high levels of stress and isolation while also fostering resilience. We then offer recommendations and resources for promoting psychological health among LGBT older adults by attending to the historical and cultural forces that affect LGBT health, and by implementing inclusive policies and programming. The article concludes with suggestions for advancing research and policy to help achieve greater health equity for LGBT older adults. J Am Geriatr Soc 67:1565-1570, 2019.
女同性恋、男同性恋、双性恋和跨性别（LGBT）老年人与普通老年人群体相比，面临着更高的不良行为健康结果风险，但很少有人关注导致这些差异的因素，也很少有人关注临床医生如何应对这些挑战。我们提出了一位 75 岁丧偶的女同性恋者患有抑郁症的案例，以说明一生中遭受歧视和污名化会产生高度的压力和孤立感，同时也培养了韧性。然后，我们提供了一些建议和资源，通过关注影响 LGBT 健康的历史和文化力量，以及实施包容政策和项目，来促进 LGBT 老年人的心理健康。文章最后提出了一些建议，以推进研究和政策，帮助实现 LGBT 老年人更大的健康公平。美国老年学会杂志 67:1565-1570,2019。
