Investigating the Needs and Concerns of Lesbian, Gay, Bisexual, and Transgender Older Adults: The Use of Qualitative and Quantitative Methodology

REFERENCES

• Administration on Aging . 2010 . A profile of older Americans: 2010 , Washington , DC : U.S. Department of Health and Human Services .
   Google Scholar
• Allen , K. R. and Walker , A. J. 2000 . “ Qualitative research ” . In Close relationships: A sourcebook , Edited by: Hendrick , C. and Hendrick , S. 19 – 30 . Thousand Oaks , CA : Sage . InEds.pp.
   Google Scholar
• Barranti , C. and Cohen , H. 2000 . “ Lesbian and gay elders: An invisible minority ” . In Gerontological social work: Knowledge, service settings, and special populations , 2nd ed , Edited by: Schneider , R. , Kropt , N. and Kisor , A. 343 – 367 . Belmont , CA : Wadsworth . InEds.pp.
   Google Scholar
• Ben-Ari , A. 1995 . The discovery that an offspring is gay: Parents’, gay men's, and lesbian's perspectives . Journal of Homosexuality , 30 : 89 – 111 .
   PubMed Web of Science ®Google Scholar
• Bengston , V. 2001 . Beyond the nuclear family: The increasing importance of multigenerational bonds . Journal of Marriage & the Family , 63 : 1 – 16 .
   Web of Science ®Google Scholar
• Bigner , J. 1996 . “ Working with gay fathers: Developmental, postdivorce parenting, and therapeutic issues ” . In Lesbians and gays in couples and families: A handbook for therapists , Edited by: Laird , J. and Green , R. J. 370 – 403 . San Francisco , CA : Jossey-Bass . InEds.pp.
   Google Scholar
• Bigner , J. 2000 . “ Gay and lesbian families ” . In Handbook of family development and intervention , Edited by: Nichols , W. , Pace-Nichols , M. , Becvar , D. and Napier , A. 279 – 298 . Hoboken , NJ : Wiley . InEds.pp.
   Google Scholar
• Cahill , S. , South , K. and Spade , J. 2000 . Outing age: Public policy issues affecting gay, lesbian, bisexual, and transgendered elders , New York , NY : Policy Institute of the National Gay and Lesbian Task Force .
   Google Scholar
• Carlat , D. J. , Camargo , C. A. and Herzog , D. B. 1997 . “ Eating disorders in males: A report on 135 patients ” . In American Journal of Psychiatry Vol. 154 , 1127 – 1132 .
   Google Scholar
• Carpenter , C. 2003 . Sexual orientation and body weight: Evidence from multiple surveys . Gender Issues , 21 ( 3 ) : 60 – 74 .
   Google Scholar
• Clunis , D. and Green , G. 2003 . The lesbian parenting book: A guide to creating families and raising children , New York , NY : Seal .
   Google Scholar
• Cochran , S. 2001 . Emerging issues in research on lesbians’ and gay men's mental health: Does sexual orientation really matter? . American Psychologist , 56 : 931 – 947 .
   PubMed Web of Science ®Google Scholar
• Cochran , S. and Mays , V. 2000 . Lifetime prevalence of suicide symptoms and affective disorders among men reporting same-sex sexual partners: . Results using BHANES III. American Journal of Public Health , 90 : 573 – 977 .
   PubMed Web of Science ®Google Scholar
• Cochran , S. and Mays , V. 2006 . “ Estimating prevalence of mental and substance-using disorders among lesbians and gay men from existing national health data ” . In Sexual orientation and mental health , Edited by: Omoto , A. and Kurtzman , H. 143 – 165 . Washington , DC : American Psychological Association . InEds.pp.
   Google Scholar
• Cochran , S. and Mays , V. 2009 . Burden of psychiatric morbidity among lesbian, gay, and bisexual individuals in the California Quality of Life Survey . Journal of Abnormal Psychology , 118 : 647 – 658 .
   PubMed Web of Science ®Google Scholar
• Cochran , S. , Mays , V. , Bowen , S. , Gage , D. , Bybee , S. , Roberts , R. and …White , J. 2001 . Cancer-related risk indicators and preventive screening behaviors among lesbians and bisexual women . American Journal of Public Health , 91 : 591 – 597 .
   PubMed Web of Science ®Google Scholar
• Cook-Daniels , L. 2006 . “ Trans aging ” . In Research and clinical perspectives on lesbian, gay, bisexual, and transgender aging , Edited by: Kimmel , D. , Rose , T. and David , S. 20 – 52 . New York , NY : Columbia University Press . InEds.pp.
   Google Scholar
• Crenshaw , K. 1989 . Demarginalizing the intersection of race and sex: A Black feminist critique of antidiscrimination doctrine, feminist theory, and antiracist politics , Chicago , IL : University of Chicago Legal Forum .
   Google Scholar
• Daling , J. R. , Weiss , N. S. , Hislop , T. G. , Maden , C. , Coates , R. J. , Sherman , K. J. and … Corey , L. 1987 . Sexual practices, sexually transmitted diseases, and the incidence of anal cancer . New England Journal of Medicine , 317 : 973 – 977 .
   PubMed Web of Science ®Google Scholar
• Daly , K. 1992 . “ The fit between qualitative research and characteristics of families ” . In Qualitative methods in family research , Edited by: Gilgun , J. , Daly , K. and Handel , G. 3 – 11 . Newbury Park , CA : Sage . InEds.pp.
   Google Scholar
• D'Augelli , A. R. and Patterson , C. 1996 . “ bisexual identities over the lifespan ” . In Lesbian, gay, and , New York , NY : Oxford University Press .
   Google Scholar
• Davis, C.1998Service needs, availability and satisfaction among lesbians age 40+. (Master Thesis). Retrieved from http://content.lib.utah.edu/utils/getfile/collection/ehsl-GerInt/id/19/filename/65.pdf (http://content.lib.utah.edu/utils/getfile/collection/ehsl-GerInt/id/19/filename/65.pdf)
   Google Scholar
• Dean , L. , Meyer , I. H. , Robinson , K. , Sell , R. L. , Sember , R. , Silenzio , V. and … Tierney , R. 2000 . Lesbian, gay, bisexual, and transgender health: Findings and concerns . Journal Gay Lesbian Medical Association , 4 : 102 – 151 .
   Google Scholar
• Denenberg , R. 1995 . “ Report on lesbian health ” . In Women Health Issues Vol. 5 , 181 – 191 .
   Google Scholar
• Deputy , N. and Boehmer , U. 2010 . Determinants of body weight among men of different sexual orientation . Prevention Medicine , 51 : 129 – 131 .
   PubMed Web of Science ®Google Scholar
• de Vries, B.2011, July/AugustLGBT aging comes of age and holds lessons for all elders. Aging Today. Retrieved from http://www.asaging.org/blog/lgbt-aging-comes-age-and-holds-lessons-all-elders (http://www.asaging.org/blog/lgbt-aging-comes-age-and-holds-lessons-all-elders)
   Google Scholar
• Diamanti , A. , Schuster , M. and Lever , J. 2000 . Receipt of preventative health care services by lesbians . American Journal of Preventive Medicine , 19 : 141 – 148 .
   PubMed Web of Science ®Google Scholar
• Diamanti , A. , Wold , C. , Spritzer , K. and Gelberg , L. 2000 . Health behaviors, health status, and access to and use of health care: A population-based study of lesbian, bisexual, and heterosexual women . Archives of Family Medicine , 9 : 141 – 148 .
   Google Scholar
• Dibble , S. L. , Vanoni , J. M. and Miaskowski , C. 1997 . Women's attitudes toward breast cancer screening procedures: Differences by ethnicity . Women's Health Issues , 7 : 47 – 54 .
   PubMed Web of Science ®Google Scholar
• Dorfman , R. , Walter , K. , Burke , P. , Hardin , I. , Karanik , T. , Raphael , J. and Silverstein , E. 1995 . Old, sad, and alone: The myth of the aging homosexual . Journal of Gerontological Social Work , 24 ( 1/2 ) : 29 – 44 .
   Web of Science ®Google Scholar
• DuRant , R. H. , Krowchuk , D. P. and Sinal , S. H. 1998 . Victimization, use of violence, and drug use at school among male adolescents who engage in same-sex sexual behavior . Journal of Pediatrics , 133 : 113 – 118 .
   PubMed Web of Science ®Google Scholar
• Fergusson , D. M. , Horwood , J. and Beautrais , A. L. 1999 . Is sexual orientation related to mental health problems and suicidality in young people? . Archives of General Psychiatry , 56 : 876 – 880 .
   PubMed Web of Science ®Google Scholar
• Ferrini , A. and Ferrini , R. 2000 . Health in the later years , 3rd , New York , NY : McGraw-Hill .
   Google Scholar
• Flaks , D. , Ficher , I. , Masterpsqua , F. and Joseph , G. 1995 . Lesbians choosing motherhood: A comparative study of lesbian and heterosexual parents and their children . Developmental Psychology , 37 : 105 – 114 .
   Web of Science ®Google Scholar
• Fruhauf , C. , Orel , N. and Jenkins , D. 2009 . Grandfathers’ perceptions of their adult children's influence on their coming out process to grandchildren . Journal of Gay, Lesbian, Bisexual, and Transgender Family Studies , 5 : 99 – 118 .
   Google Scholar
• Gates , W. 2011 . How many people are lesbian, gay, bisexual, and transgender? , Los Angeles , CA : Williams Institute, UCLA School of Law .
   Google Scholar
• Gay and Lesbian Medical Association . 2001 . Healthy People 2010: Companion document for lesbian, gay, bisexual, and transgender (LGBT) health , San Francisco , CA : Author .
   Google Scholar
• Glaser , B. G. and Strauss , A. L. 1967 . The discovery of grounded theory: Strategies for qualitative research , Chicago , IL : Aldine .
   Google Scholar
• Grant , J. , Koskovick , G. , Frazer , S. and Bjerk , S. 2010 . Outing Age 2010: Public policy issues affecting lesbian, gay, bisexual, and transgender elders , Washington , DC : National Gay and Lesbian Task Force Policy Institute .
   Google Scholar
• Heaphy , B. 2007 . Sexualities, gender, and ageing . Current Sociology , 55 : 193 – 210 .
   Web of Science ®Google Scholar
• Herdt , G. and de Vries , B. 2004 . “ Introduction ” . In Gay and lesbian aging: Research and future directions , Edited by: Herdt , G. and de Vries , B. xi – xxii . New York , NY : Springer . InEds.pp.
   Google Scholar
• Herek , G. M. 2009 . Hate crimes and stigma-related experiences among sexual minority adults in the United States: Prevalence estimates from a national probability sample . Journal of Interpersonal Violence , 24 : 54 – 74 .
   PubMed Web of Science ®Google Scholar
• Hunter , S. 2005 . Midlife and older LGBT adults: Knowledge and affirmative practice for social services Binghamton, NY: Hawthorn
   Google Scholar
• Hunter , S. 2007 . Coming out and disclosures: LGBT persons across the life span. Binghamton, NY: Haworth
   Google Scholar
• Institute of Medicine . 1998 . Leading health indicators for Healthy People 2010 , Washington , DC : National Academies Press .
   Google Scholar
• Institute of Medicine . 1999 . Lesbian health: Current assessment and directions for the future , Washington , DC : National Academies Press .
   Google Scholar
• Institute of Medicine . 2011 . “ lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding ” . In The health of , Washington , DC : National Academies Press .
   Google Scholar
• Johnson , S. and O'Connor , E. 2002 . The gay baby boom: The psychology of gay parenthood , New York , NY : New York University Press .
   Google Scholar
• Kimmel , D. 1978 . Adult development and aging: A gay perspective . Journal of Social Issues , 34 : 113 – 130 .
   Web of Science ®Google Scholar
• Kimmel , D. 2002 . “ Aging and sexual orientation ” . In Mental health issues in lesbian, gay, bisexual, and transgender communities , Edited by: Jones , B. E. and Hill , M. J. 17 – 36 . Washington , DC : American Psychiatric Association . InEds.pp.
   Google Scholar
• Kimmel , D. , Rose , T. , Orel , N. and Greene , B. 2006 . “ Historical context for research on lesbian, gay, bisexual, and transgender aging ” . In Research and clinical perspectives on lesbian, gay, bisexual, and transgender aging , Edited by: Kimmel , D. , Rose , T. and David , S. 1 – 26 . New York , NY : Columbia University Press . InEds.pp.
   Google Scholar
• King , V. , Russell , S. T. and Elder , G. H. 1998 . “ Grandparenting in family systems: An ecological perspective ” . In Handbook on grandparenthood , 53 – 69 . Westport , CT : Greenwood . InM. E. SzinovaczEdpp.
   Google Scholar
• Kinsey , A. C. , Pomeroy , W. B. and Martin , C. E. 1948 . Sexual behavior in the human male , Philadelphia , PA : Saunders .
   Google Scholar
• Kivett , V. 1991 . The grandparent–grandchild connection . Marriage and Family Review , 16 : 267 – 290 .
   Google Scholar
• Koblin , B. , Hessol , N. , Zauber , A. , Taylor , P. , Buchbinder , S. , Katz , M. and Stevens , C. 1996 . Increased incidence of cancer among homosexual men, New York City and San Francisco, 1978–1990 . American Journal of Epidemiology , 144 : 916 – 923 .
   PubMed Web of Science ®Google Scholar
• Kochman , A. 1997 . Gay and lesbian elderly: Historical overview and implications for social work practice . Journal of Gay and Lesbian Social Services , 6 ( 1 ) : 1 – 10 .
   Google Scholar
• Koh , A. 2000 . Use of preventive health behaviors by lesbian, bisexual, and heterosexual women: Questionnaire survey . Western Journal of Medicine , 172 : 379 – 384 .
   PubMedGoogle Scholar
• Koh , A. and Ross , L. 2006 . Mental health issues: A comparison of lesbian, bisexual, and heterosexual women . Journal of Homosexuality , 51 ( 1 ) : 33 – 57 .
   PubMed Web of Science ®Google Scholar
• Kornhaber , A. and Woodward , K. L. 1981 . Grandparents/grandchildren: The vital connection , Garden City , NY : Anchor .
   Google Scholar
• Lincoln , Y. S. and Guba , E. G. 1985 . Naturalistic inquiry , Beverly Hills , CA : Sage .
   Google Scholar
• Mabey , J. E. 2011 . Counseling older adults in LGBT communities . Professional Counselor , 1 ( 1 ) : 57 – 62 .
   Google Scholar
• Mann , R. 2007 . Out of the shadows?: Grandfatherhood, age and masculinities . Journal of Aging Studies , 21 : 281 – 291 .
   Web of Science ®Google Scholar
• Matthews , S. H. and Sprey , J. 1985 . Adolescents’ relationships with grandparents: An empirical contribution to conceptual clarification . Journal of Gerontology , 40 : 621 – 626 .
   PubMedGoogle Scholar
• Mayer , K. H. , Bradford , J. B. , Makadon , H. J. , Stall , R. , Goldhammer , M. S. and Landers , S. 2008 . Sexual and gender minority health: What we know and what needs to be done . American Journal of Public Health , 98 : 989 – 995 .
   PubMed Web of Science ®Google Scholar
• Maykut , P. and Morehouse , R. 1994 . Beginning qualitative research: A philosophic and practical guide , London , England : Falmer .
   Google Scholar
• McFarland , P. L. and Sanders , S. 2003 . A pilot study about the needs of older gays and lesbians: What social workers need to know . Journal of Gerontological Social Work , 40 ( 3 ) : 67 – 80 .
   Google Scholar
• Mercier , L. and Harold , R. 2003 . A feminist approach to exploring the intersection of individuals, families, and communities: An illustration focusing on lesbian mother research . Journal of Human Behavior in the Social Environment , 7 ( 3/4 ) : 79 – 95 .
   Google Scholar
• Merriam , S. 1998 . Qualitative research and case study applications in education , San Francisco , CA : Jossey-Bass .
   Google Scholar
• MetLife . 2006 . Out and aging: The MetLife study of lesbian and gay baby boomers , Westport , CT : MetLife Mature Market Institute .
   Google Scholar
• MetLife . 2010 . Still out, still aging: The MetLife study of lesbian, gay, bisexual, and transgender baby boomers , Westport , CT : MetLife Mature Market Institute .
   Google Scholar
• Meyer , I. and Northridge , M. 2007 . The health of sexual minorities: Public health perspectives on lesbian, gay, bisexual, and transgender populations , New York , NY : Springer .
   Google Scholar
• Morgan , D. L. 1997 . Focus groups as qualitative research , 2nd , Thousand Oaks , CA : Sage .
   Google Scholar
• Morrow , D. F. 2001 . Older gays and lesbians: Surviving a generation of hate and violence . Journal of Gay & Lesbian Social Services , 13 ( 1/2 ) : 151 – 169 .
   Google Scholar
• National Gay and Lesbian Task Force Policy Institute . 1999 . Aging initiative , Washington , DC : Author .
   Google Scholar
• Orel , N. and lesbian , Gay . 2004a . bisexual elders: Expressed needs and concerns across focus groups . Journal of Gerontological Social Work , 43 ( 2/3 ) : 57 – 77 .
   Google Scholar
• Orel , N. 2004b, November . Lesbian and bisexual women as grandmothers: The centrality of sexual orientation on the grandparent–grandchild relationship Washington , DC Paper presented at the 57th annual scientific meeting of the Gerontological Society of America,
   Google Scholar
• Orel , N. 2006a . “ Community needs assessment: Documenting the need for affirmative services for gay, lesbian, and bisexual elders ” . In Research and clinical perspectives on lesbian, gay, bisexual, and transgender aging , Edited by: Kimmel , D. , Rose , T. and David , S. 321 – 346 . New York , NY : Columbia University Press . InEds.pp.
   Google Scholar
• Orel , N. 2006b . “ Lesbian and bisexual women as grandparents: The centrality of sexual orientation on the grandparent–grandchild relationship ” . In Research and clinical perspectives on lesbian, gay, bisexual, and transgender aging , Edited by: Kimmel , D. , Rose , T. and David , S. 248 – 274 . New York , NY : Columbia University Press . InEds.pp.
   Google Scholar
• Orel , N. and Fruhauf , C. 2006 . Lesbian and bisexual grandmothers’ perceptions of the grandparent–grandchild relationship . Journal of Gay, Lesbian, Bisexual, and Transgender Family Studies , 2 ( 1 ) : 43 – 70 .
   Google Scholar
• Patterson , C. J. 1995 . Sexual orientation and human development: An overview . Developmental Psychology , 31 : 3 – 11 .
   Web of Science ®Google Scholar
• Patterson , S. 2005 . Better one's own path: The experiences of lesbian grandmothers in Canada . Canadian Woman Studies , 24 : 118 – 122 .
   Google Scholar
• Patton , M. Q. 1990 . Qualitative evaluation and research methods , 2nd , Newbury Park , CA : Sage . Edition
   Google Scholar
• Patton , M. Q. 2002 . Qualitative research & evaluation methods , 3rd , Thousand Oaks , CA : Sage .
   Google Scholar
• Ponce , N. , Cochran , S. , Pizer , J. and Mays , V. 2010 . The effects of unequal access to health insurance for same-sex couples in California . Health Affairs , 29 ( 8 ) : 1539 – 1548 .
   Web of Science ®Google Scholar
• Quam , J. K. 1993 . Gay and lesbian aging . SIECUS Report , 21 ( 5 ) : 10 – 12 .
   Google Scholar
• Quam , J. K. and Whitford , G. 1992 . Adaptation and age-related expectations of older gay and lesbian adults . Gerontologist , 32 : 367 – 374 .
   PubMed Web of Science ®Google Scholar
• Richardson , D. and Seidman , S. 2002 . Handbook of lesbian and gay studies , New York , NY : Sage .
   Google Scholar
• Robertson , P. and Schachter , J. 1981 . Failure to identify venereal disease in a lesbian population . Sexually Transmitted Diseases , 8 ( 2 ) : 75 – 76 .
   PubMed Web of Science ®Google Scholar
• Savin-Williams , R. C. and Ream , G. 2003 . Sex variations in the disclosure to parents of same-sex attractions . Journal of Family Psychology , 17 : 429 – 438 .
   PubMed Web of Science ®Google Scholar
• Seidman , S. 2002 . Beyond the closet: The transformation of gay and lesbian life , New York , NY : Routledge .
   Google Scholar
• Services and Advocacy for Gay, Lesbian, and Transgender Elders (SAGE) . 2010 . Improving the lives of LGBT older adults , Denver , CO : LGBT Movement Advancement Project .
   Google Scholar
• Services and Advocacy for GLBT Elders2010, AprilUnderstanding and meeting the needs of LGBT elders. SAGE News. Retrieved from https://www.sageusa.org/newsevents/release.cfm?ID=59&print=1 (http://https://www.sageusa.org/newsevents/release.cfm?ID=59&print=1)
   Google Scholar
• Shippy , R. , Cantor , M. and Brennan , M. 2004 . Social networks of aging gay men . Journal of Men's Studies , 13 ( 1 ) : 107 – 120 .
   Google Scholar
• Skinner , W. and Otis , M. 1996 . Drug and alcohol use among lesbian and gay people in a southern U.S. sample: Epidemiological, comparative, and methodological findings from the Trilogy Project . Journal of Homosexuality , 30 ( 3 ) : 59 – 92 .
   PubMed Web of Science ®Google Scholar
• Smith , P. and Drew , L. 2002 . “ Grandparenthood ” . In Handbook of parenting, Vol. 3: Being and becoming a parent , 2nd , Edited by: Bernstein , M. 141 – 172 . Mahwah , NJ : Erlbaum . InEd.
   Google Scholar
• Stall , R. D. , Greenwood , G. L. , Acree , M. , Paul , J. and Coates , T. J. 1999 . Cigarette smoking among gay and bisexual men . American Journal of Public Health , 89 : 1875 – 1878 .
   PubMed Web of Science ®Google Scholar
• Stall , R. and Wiley , J. 1988 . A comparison of alcohol and drug use patterns of homosexual and heterosexual men: The San Francisco Men's Health Study . Drug and Alcohol Dependence , 22 : 63 – 73 .
   PubMed Web of Science ®Google Scholar
• Stelle , C. , Fruhauf , C. , Orel , N. and Landry-Meyer , L. 2010 . Grandparenting in the 21st century: Issues of diversity in grandparent–grandchild relationships . Journal of Gerontological Social Work , 53 : 682 – 701 .
   PubMedGoogle Scholar
• Stewart , D. W. and Shamdasani , P. N. 1990 . Focus groups: Theory and practice. Applied Social Research Methods Series (Vol. 20) , Newbury Park , CA : Sage .
   Google Scholar
• Tang , H. , Greenwood , G. , Cowling , D. , Lloyd , J. , Roeseler , A. and Bal , D. 2004 . Cigarette smoking among lesbians, gays, and bisexuals: How serious a problem? . Cancer Causes and Control , 15 : 797 – 803 .
   PubMed Web of Science ®Google Scholar
• Thomas , J. L. 1994 . “ Older men as fathers and grandfathers ” . In Older men's lives , Edited by: Thompson , F. 197 – 217 . Thousand Oaks , CA : Sage . InEd.pp.
   Google Scholar
• U.S. Census Bureau . 2000 . Statistical abstract of the United States , Washington , DC : Government Printing Office .
   Google Scholar
• Whitbeck , L. B. , Hoyt , D. R. and Huck , S. M. 1993 . Family relationship history, contemporary parent–grandparent relationship quality, and the grandparent–grandchild relationship . Journal of Marriage & the Family , 55 : 1025 – 1035 .
   Web of Science ®Google Scholar
• Zaritsky , E. and Dibble , S. 2010 . Risk factors for reproductive and breast cancers among older lesbians . Journal of Women's Health , 19 ( 1 ) : 125 – 131 .
   PubMed Web of Science ®Google Scholar