2020
DOI: 10.1177/0733464820925330
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Comfort Among Older Lesbian and Gay People in Disclosing Their Sexual Orientation to Health and Aged Care Services

Abstract: Being comfortable in disclosing one’s sexual orientation to health and aged care providers is important for older lesbian and gay adults, given that nondisclosure is associated with poorer health and well-being outcomes. In a sample of 752 lesbian and gay adults aged 60 years and older living in Australia, we found only 51% of lesbian women and 64% of gay men felt fully comfortable to disclose their sexual orientation to health and aged care service providers. For both the women and the men, those who felt ful… Show more

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Cited by 18 publications
(14 citation statements)
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“…Due to sample size, we were able to compare men and women, but not non-binary authors who represented 0.1% of submissions. Due to stigma and discrimination, lesbian, gay, bisexual, transgender, queer, and other (LGBTQ + ) individuals may be less likely to disclose their gender, and barriers to disclosure have been identified in other settings (e.g., health care, friends and family, school, workplace) (Ragins et al, 2007 ; Mansh et al, 2015 ; Brooks et al, 2018 ; Schrimshaw et al, 2018 ; Lyons et al, 2021 ). Further, we recognize that there are genders other than the male, female, and non-binary options provided to authors for selection and that gender identity is a continuum (Castleberry, 2019 ; Gulgoz et al, 2022 ).…”
Section: Discussionmentioning
confidence: 99%
“…Due to sample size, we were able to compare men and women, but not non-binary authors who represented 0.1% of submissions. Due to stigma and discrimination, lesbian, gay, bisexual, transgender, queer, and other (LGBTQ + ) individuals may be less likely to disclose their gender, and barriers to disclosure have been identified in other settings (e.g., health care, friends and family, school, workplace) (Ragins et al, 2007 ; Mansh et al, 2015 ; Brooks et al, 2018 ; Schrimshaw et al, 2018 ; Lyons et al, 2021 ). Further, we recognize that there are genders other than the male, female, and non-binary options provided to authors for selection and that gender identity is a continuum (Castleberry, 2019 ; Gulgoz et al, 2022 ).…”
Section: Discussionmentioning
confidence: 99%
“…For example, Grigorovich [ 35 , 36 ] explores quality of care related to service provider knowledge of, and comfort with, sexual diversity and the decision-making processes related to disclosure of older lesbian and bisexual women during interactions with home care service providers, citing experiences of overt and subtle heterosexism and discrimination. References to home care in 2SLGBTQ+ health-related literature have often been anecdotal and/or represent the perspectives and insights of service providers rather than sexual and gender minority people themselves [ 31 , 38 , 39 , 40 , 41 , 42 ].…”
Section: Introductionmentioning
confidence: 99%
“…Some identification changes may be due to a person's continuing sexual identity development, or the emergence of a previously unrecognised aspect of their sexuality (Campbell, Perales, and Baxter 2020). For others, an apparent identification change may be due to a change in circumstances, such as a move into an aged-care facility where an individual no longer feels comfortable disclosing a minority sexual identity (e.g., Lyons et al 2020), or a younger person's move out of the family home which enables them to be more open about their sexual identity. Other people may not strongly identify with any of the commonly presented sexual identity categories, and might choose different answers to the sexual identity question depending on the context (Galupo, Ramirez, and Pulice-Farrow 2017).…”
Section: Input Data and Projection Assumptions For Australiamentioning
confidence: 99%