GRECC, VA Palo Alto Health Care System, Stanford School of Medicine, 3801 Miranda Avenue (182b), Palo Alto, CA 94304, USA.
The Permanente Medical Group, Kaiser Permanente Santa Clara Medical Center, 710 Lawrence Expressway, Dept 440 (MOB), Santa Clara, CA 95051, USA.
Clin Geriatr Med. 2024 May;40(2):309-320. doi: 10.1016/j.cger.2023.10.004. Epub 2023 Nov 7.
Isolation, financial insecurity, incomplete advance care planning, and lack of safe/affordable/inclusive long-term care are challenges magnified in gender and sexual minorities. LGBTQIA+ older adults are disproportionately more likely to live alone and experience financial poverty and social isolation. LGBTQIA+ adults suffering from cognitive impairment are an especially defenseless population due to their lack of social connection and potential lack of financial resources and advance care planning.
在性别和性少数群体中，隔离、经济不安全、预先护理计划不完整以及缺乏安全/负担得起/包容的长期护理等问题更加突出。LGBTQIA+ 老年人独居、经济贫困和社会隔离的可能性更大。由于缺乏社会联系以及潜在缺乏经济资源和预先护理计划，患有认知障碍的 LGBTQIA+ 成年人是一个特别弱势的群体。
