5894New York University Rory Meyers College of Nursing, New York, NY, USA.
43353University of Minnesota School of Public Health, Minneapolis, MN, USA.
J Appl Gerontol. 2022 Sep;41(9):2056-2062. doi: 10.1177/07334648221099006. Epub 2022 May 10.
Little is known about sexual minority (SM) older adults' activities of daily living (ADL) and instrumental activities of daily living (IADL) limitations and their subsequent access to long-term services and supports (LTSS). We analyzed cross-sectional data from the 2016 Health and Retirement Study limited to individuals ≥50 years old. Bivariate analyses were performed to examine 1) sexual identity differences in the prevalence of ADL/IADL limitations and 2) associations of sexual identity with having ADL/IADL limitations and having access to help with ADL/IADL limitations. Our sample consisted of 3833 older adults, 6% ( = 213) were SM. Compared to heterosexual participants, bisexual older adults had greater reports of ADL/IADL limitations (20.9% vs. 35.9%, = 0.013). Among those who reported having ADL/IADL limitations ( = 803), there were no sexual identity differences in accessing help for ADL/IADL limitations ( = .901). Our findings contribute to the limited research on LTSS access among SM older adults.
目前对于性少数群体（SM）老年群体的日常生活活动（ADL）和工具性日常生活活动（IADL）受限及其后续获得长期服务和支持（LTSS）的情况知之甚少。我们分析了 2016 年健康与退休研究的横断面数据，仅限于年龄在 50 岁及以上的个体。进行了双变量分析，以检验 1）ADL/IADL 受限的流行率在性身份上的差异，以及 2）性身份与 ADL/IADL 受限以及获得 ADL/IADL 帮助之间的关联。我们的样本包括 3833 名老年人，其中 6%（=213）为 SM。与异性恋参与者相比，双性恋的老年群体报告的 ADL/IADL 受限更多（20.9%比 35.9%，=0.013）。在报告存在 ADL/IADL 受限的个体中（=803），在获得 ADL/IADL 帮助方面，性身份没有差异（=0.901）。我们的研究结果为性少数群体老年群体获得 LTSS 服务的有限研究做出了贡献。
