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The Intersection of Identities of LGBT Elders: Race, Age, Sexuality, and Care Network

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Handbook of LGBT Elders

Abstract

This chapter focuses on the complexity of human identity by considering the multifaceted and intertwined relationships between sexuality, gender, race, ethnicity, socioeconomic status, and age, as well as other aspects of one’s social and personal identity. To assist in illuminating our understanding of these relationships, the structural, political, and social factors that contribute to social inequality experienced by LGBT elders situated at the multidimensional intersections of different races, ethnicities, socioeconomic status (SES), sexes, and sexualities are explored. By simultaneously considering the multiplicity and fluidity of identity and exposing the diversity of experiences of LGBT elders, we are able to underscore some of the many reasons for extant research involving sexual minorities which must be carefully and critically evaluated.

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References

  • Abes, E. S., Jones, S. R., & McEwen, M. K. (2007). Reconceptualizing the model of multiple dimensions of identity: The role of meaning-making capacity in the construction of multiple identities. Journal of College Student Development, 48(1), 1–22.

    Article  Google Scholar 

  • Addis, S., Davies, M., Greene, G., MacBride-Stewart, S., & Shepherd, M. (2009). The health, social care and housing needs of lesbian, gay, bisexual and transgender older people: a review of the literature. Health and Social Care in the Community, 17(6), 647–658. doi:10.1111/j.1365-2524.2009.00866.x.

    Article  Google Scholar 

  • Albelda, R., Badgett, M. V. L., Schneebaum, A., & Gates, G. (2009). Poverty in the lesbian, gay, and bisexual community. Los Angeles, CA: The Williams Institute.

    Google Scholar 

  • Auldridge, A., & Espinoza, R. (2013). Health equity and LGBT elders of color: Recommendations for policy and practice. Thousand Oaks, CA: Sage Publications Inc.

    Google Scholar 

  • Averett, P., Yoon, I., & Jenkins, C. L. (2012). Older lesbian sexuality: Identity, sexual behavior, and the impact of aging. The Journal of Sex Research, 49(5), 495–507.

    Article  Google Scholar 

  • Azmitia, M. (2014). Reflections on the cultural lenses of identity development. In K. C. McLean & M. Syed (Eds.), The Oxford handbook of identity development (pp. 286–296). Oxford: Oxford University Press.

    Google Scholar 

  • Balsam, K. F., Molina, Y., Beadnell, B., Simoni, J., & Walters, K. (2011). Measuring multiple minority stress: The LGBT people of color microaggressions scale. Cultural Diversity and Ethnic Minority Psychology, 17(2), 163–174.

    Article  Google Scholar 

  • Banks, M. E. (2012). Multiple minority identities and mental health: Social and research implications of diversity within and between groups. In R. Nettles & R. Balter (Eds.), Multiple minority identities: Applications for practice, research, and training (pp. 35–58). New York: NY, Springer Publishing Company.

    Google Scholar 

  • Blumstein, P., & Schwartz, P. (1983). American couples: Money, work, sex. New York: William Morrow.

    Google Scholar 

  • Boulder County Aging Services. (2004). Project visibility: Awareness and sensitivity training manual for service providers of lesbian, gay, bisexual and transgender elders. Boulder: CO: Author.

    Google Scholar 

  • Bowleg, L. (2008). When Black + Lesbian + Woman ≠ Black Lesbian woman: The methodological challenges of qualitative and quantitative intersectionality research. Sex Role, 59, 312–325.

    Article  Google Scholar 

  • Bowleg, L., Huang, J., Brooks, K., Black, A., & Burkholder, G. (2003). Triple jeopardy and beyond: Multiple minority stress and resilience among black lesbians. Journal of Lesbian Studies, 7(4), 87–108.

    Article  Google Scholar 

  • Brennan-Ing, M., Seidel, L., Larson, B., & Karpiak, S. E. (2014). Social care networks and LGBT older adults: Challenges for the future. Journal of Homosexuality, 61(1), 21–52.

    Article  Google Scholar 

  • Brotman, S., Ryan, B., Collins, S., Chamberland, L., Cormier, R., Julien, D. et al. (2007). Coming out to care: Caregivers of gay and lesbian seniors in Canada. Gerontologist, 47(4), 490–503.

    Google Scholar 

  • Brown, M. T., & Grossman, B. R. (2014). Same-sex sexual relationships in the national social life, health and aging project: Making as case for data collection. Journal of Gerontological Social Work, 57(2–4), 108–129.

    Article  Google Scholar 

  • Cantor, M. H., Brennan, M., & Karpiak, S. E. (2009). The social support network of older people with HIV. In M. Brennan, S. E. Karpiak, R. A. Shippy, & M. H. Cantor (Eds.), Older adults with HIV: An in-depth examination of an emerging population (pp. 61–74). Hauppauge, NY: Nova Science Publishers.

    Google Scholar 

  • Case, K. A., Iuzzini, J., & Hopkins, M. (2012). Systems of privilege: Intersections, awareness, and applications. Journal of Social Issues, 68, 1–10. doi: 10.1111/j.1540-4560.2011.01732.x.

    Google Scholar 

  • Collins, P. H. (1990). Black feminist thought. Boston: Unwin Hyman.

    Google Scholar 

  • Collins, P. H. (2000). Black feminist thought (2nd ed.). New York, NY: Routledge.

    Google Scholar 

  • Collins, P. H. (2005). An entirely different world: Rethinking the sociology of race and ethnicity. In C. Calhoun, B. Turner, & C. Rojeck (Eds.), Handbook of sociology (pp. 208–222). London: Sage Publications Inc.

    Google Scholar 

  • Crenshaw, K. (1993). Mapping the margins: Intersectionality, identity politics, and violence against women of color. Stanford Law Review, 43(6), 1241–1279.

    Article  Google Scholar 

  • Crisp, C., Wayland, S., & Gordon, T. (2008). Older gay, lesbian, and bisexual adults: Tools for age-competent and gay affirmative practice. Journal of Gay & Lesbian Social Services, 20(1–2), 5–29.

    Article  Google Scholar 

  • Croghan, C. F., Moone, R. P., & Olson, A. M. (2014). Friends, family, and caregiving among midlife and older lesbian, gay, bisexual, and transgender adults. Journal of Homosexuality, 61(1), 79–102.

    Article  Google Scholar 

  • Cronin, A. (2004). Sexuality in gerontology: A heteronormative presence, a queer absence. In S. O. Daatland & S. Biggs (Eds.), Ageing and diversity: Multiple pathways and cultural migrations (pp. 107–122). Bristol: Policy Press.

    Google Scholar 

  • Cronin, A., & King, A. (2010). Power, inequality, and identification: Exploring diversity and intersectionality amongst older LGB adults. Sociology, 44(5), 876–892.

    Article  Google Scholar 

  • Deaux, K., & Martin, D. (2003). Interpersonal networks and social categories: Specifying levels of context in identity processes. Social Psychology Quarterly, 66(2), 101–117.

    Article  Google Scholar 

  • DeBlaere, C., Brewster, M. E., Sarkees, A., & Moradi, B. (2010). Conducting research with LGB people of color: Methodological challenges and strategies. The Counseling Psychologist, 38(3), 331–362.

    Article  Google Scholar 

  • Diamond, L. M. (2005). A new view of lesbian subtypes: Stable versus fluid identity trajectories over an 8-year period. Psychology of Women Quarterly, 29(2), 119–128.

    Article  Google Scholar 

  • Diaz, R. M., Ayala, G., Bein, E., Jenne, J., & Marin, B. V. (2001). The impact of homophobia, poverty, and racism on the mental health of Latino gay men. American Journal of Public Health, 91, 927–932.

    Article  Google Scholar 

  • Diaz, R. M., Peterson, J. L., & Choi, K. (2008). Social discrimination and health outcomes in African American, Latino, and Asian/Pacific Islander gay men. In R. J. Wolitski, R. Stall, & R. O. Valdiserri (Eds.), Unequal opportunity: Health disparities affecting gay and bisexual men in the United States (pp. 327–354). New York, NY: Oxford University Press.

    Google Scholar 

  • Eliason, M. J., Dibble, S., & DeJoseph, J. (2010). Nursing’s silence on lesbian, gay, bisexual, and transgender issues: The need for emancipatory efforts. Advances in Nursing Science, 33(3), 206–218.

    Article  Google Scholar 

  • Ferguson, A. D., Carr, G., & Snitman, A. (2014). Intersections of race-ethnicity, gender, and sexual minority communities. In M. L. Miville & A. D. Ferguson (Eds.), Handbook of race-ethnicity and gender in psychology (pp. 45–63). New York, NY: Springer Science.

    Chapter  Google Scholar 

  • Fish, J. (2008). Navigating queer street: Researching the intersections of lesbian, gay, bisexual, and trans (LGBT) identities in health research. Sociological Research Online, 13(1), 12. http://www.socresonline.org.uk/13/1/12.html doi:10.5153/sro.1652.

    Google Scholar 

  • Fitzgerald, E. (2013). No golden years at the end of the rainbow: How a lifetime of discrimination compounds economic and health disparities for LGBT older adults. Washington, D.C.: National Gay and Lesbian Task Force.

    Google Scholar 

  • Flaxman, N. (2005). Practical suggestions for working with LGBT elders. Retrieved January 18, 2015 from www.lavenderseniors.org/wp-content/uploads/pdf/PracticalSuggestionsforWorkingwithLGBTElders.pdf.

  • Fredriksen-Goldsen, K. W., Hoy-Ellis, C. P., Goldsen, J., Emlet, C. A., & Hooyman, N. R. (2014). Creating a vision for the future: Key competencies and strategies for culturally competent practice with lesbian, gay, bisexual, and transgender (LGBT) older adults in the health and human services. Journal of Gerontological Social Work, 57(2–4), 80–107.

    Article  Google Scholar 

  • Fredriksen-Goldsen, K. I., Kim, H.-J., Emlet, C. A., Muraco, A., Erosheva, E. A., Hoy-Ellis, C. P., et al. (2011). The aging and health report: Disparities and resilience among lesbian, gay, bisexual, and transgender older adults. Seattle, WA: Institute for Multigenerational Health.

    Google Scholar 

  • Fredriksen-Goldsen, K. I., & Muraco, A. (2010). Aging and sexual orientation: A 25-year review of the literature. Research on Aging, 32(3), 372–413.

    Article  Google Scholar 

  • Fukuyama, M. A., & Ferguson, A. D. (2000). Lesbian, gay, and bisexual people of color: Understanding cultural complexity and managing multiple oppressions. In R. M. Perez & K. A. DeBord (Eds.), Handbook of counseling and psychotherapy with lesbian, gay, and bisexual clients (pp. 81–105). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Fuss, D. (1989). Essentially speaking: Feminism, nature, and difference. New York: Routledge.

    Google Scholar 

  • Gabrielson, M. (2011). “We have to create family”: Aging support issues and needs among older lesbians. Journal of Gay and Lesbian Social Services, 23(3), 1–13.

    Article  Google Scholar 

  • Garry, A. (2011). Intersectionality, metaphors, and the multiplicity of gender. Hypatia, 26(4), 826–850.

    Article  Google Scholar 

  • Gates, G. J. (2006). Same-sex couples and the gay, lesbian, bisexual population: New estimates from the American Community Survey. The Williams Institute. UCLA: The Williams Institute. Retrieved from: http://escholarship.org/uc/item/8h08t0zf.

  • Glass, V. Q., & Few-Demo, A. L. (2013). Complexities of informal social support arrangements for Black lesbian couples. Family Relations, 62(5), 714–726.

    Article  Google Scholar 

  • Green, R. J., & Mitchell, V. (2008). Gay and lesbian couples in therapy: Minority stress, relational ambiguity, and families of choice. In A. S. Gurman (Ed.), Clinical handbook of couple therapy (4th ed., pp. 662–680). New York, NY: Guilford Press.

    Google Scholar 

  • Greene, B. (1995). Lesbian women of color: Triple jeopardy. In B. Greene (Ed.), Women of color: Integrating ethnic and gender identities in psychotherapy (pp. 389–427). New York, NY: Guilford Press.

    Google Scholar 

  • Grossman, A. H., D’Augelli, A. R., & Hershberger, S. L. (2000). Social support networks of lesbian, gay, and bisexual adults 60 years of age and older. The Journal of Gerontology: Psychological Sciences & Social Sciences, 55(3), P171–P179.

    Article  Google Scholar 

  • Hancock, A.-M. (2007). When multiplication doesn’t equal quick addition: Examining intersectionality as a research paradigm. Perspectives on Politics, 5(1), 63–79.

    Article  Google Scholar 

  • Hardacker, C. T., Rubenstein, B., Hotton, A., & Houlberg, M. (2014). Adding silver to the rainbow: the development of nurses’ health education about LGBT elders (HEALE) cultural competency curriculum. Journal of Nursing Management, 22(2), 257–266.

    Article  Google Scholar 

  • Heck, J. E., Sell, R. L., & Gorin, S. S. (2006). Health care access among individuals involved in same-sex relationships. American Journal of Public Health, 96, 1111–1118.

    Article  Google Scholar 

  • Hillman, J., & Hinrichsen, G. A. (2014). Promoting an affirming, competent practice with older lesbian and gay adults. Professional Psychology: Research and Practice, 45(4), 269–277.

    Article  Google Scholar 

  • Hooks, B. (1984). Feminist theory: From margin to center. Cambridge, MA: South End Press.

    Google Scholar 

  • Hooks, B. (1990). Yearning: Race, gender, and cultural politics. Cambridge, MA: South End Press.

    Google Scholar 

  • Howard, J. A. (2000). Social psychology of identities. Annual Review of Sociology, 26, 367–393.

    Google Scholar 

  • Huang, Y., Brewster, M. E., Moradi, B., Goodman, M. B., Wiseman, M. C., & Martin, A. (2010). Content analysis of literature about LGB people of color: 1998–2007. The Counseling Psychologist, 38(3), 363–396.

    Article  Google Scholar 

  • Hughes, M. M. (2007). Familiar theories from a new perspective: The implications of a longitudinal approach to women in politics research. Politics & Gender, 3(3), 370–378.

    Google Scholar 

  • Hughes, M., & Kentlyn, S. (2011). Older LGBT people’s care networks and communities of practice: A brief note. International Social Work, 54(3), 436–444.

    Article  Google Scholar 

  • Hunter, S. (2007). Coming out and disclosure: LGBT persons across the life span. New York: Haworth.

    Google Scholar 

  • Institute of Medicine. (2011). The health of lesbian, gay, bisexual and transgender people: Building a foundation for better understanding. Washington, DC: National Academies Press.

    Google Scholar 

  • Jackson III, B. W. (2012). Black identity development: Influences of culture and social oppression. In C. Wijeyesinghe & B. W. Jackson III (Eds.), New perspectives on racial identity development: Integrating emerging frameworks (2nd., pp. 33–50). New York, NY: New York University Press.

    Google Scholar 

  • Jenkins, R. (2014). Social identity. New York, NY: Routledge.

    Google Scholar 

  • Jeong, J. Y., & Horne, S. G. (2009). Relationship characteristics of women in interracial same-sex relationships. Journal of Homosexuality, 56(4), 443–456.

    Article  Google Scholar 

  • Johnson, M. J., Jackson, N. C., Arnette, J. K., & Koffman, S. D. (2005). Gay and lesbian perceptions of discrimination in retirement care facilities. Journal of Homosexuality, 49, 83–102.

    Article  Google Scholar 

  • Jones, S. R. (1997). Voices of identity and difference: A qualitative exploration of the multiple dimensions of identity development in women college students. Journal of College Student Development, 38, 376–386.

    Google Scholar 

  • Jones, S. R., & McEwen, M. K. (2000). A conceptual model of multiple dimensions of identity. Journal of College Student Development, 41(4), 405–414.

    Google Scholar 

  • Kertzner, R. M. (2001). The adult life course and homosexual identity in midlife gay men. Annual Review of Sex Research, 12, 75–92.

    Google Scholar 

  • Kertzner, R. M., Meyer, I. H., Frost, D. M., & Stirratt, M. J. (2009). Social and psychological well-being in lesbians, gay men, and bisexuals: The effects of race, gender, age, and sexual identity. American Journal of Orthopsychiatry, 79(4), 500–510.

    Article  Google Scholar 

  • Knapp, G. A. (2005). Race, class, gender: Reclaiming baggage in fast travelling theories. European Journal of Women’s Studies, 12(3), 249–265.

    Article  Google Scholar 

  • Knochel, K. A., Crogan, C. F., Moore, R. P., & Quam, J. (2011). Ready to serve? The aging network and LGB and T older adults. Washington, DC: National Association of Area Agencies of Aging.

    Google Scholar 

  • Kurdek, L. A. (2001). Differences between heterosexual-nonparent couples, and gay, lesbian, and heterosexual-parent couples. Journal of Family Issues, 22, 727–754.

    Article  Google Scholar 

  • Kurdek, L. A. (2004). Gay men and lesbians: The family context. In M. Coleman & L. H. Ganong (Eds.), Handbook of contemporary families: Considering the past, contemplating the future (pp. 96–115). Thousand Oaks, CA: Sage.

    Chapter  Google Scholar 

  • Lehavot, K., Balsam, K. F., & Ibrahim-Wells, G. D. (2009). Redefining the American quilt: Definitions and experiences of community among ethnically diverse lesbian and bisexual women. Journal of Community Psychology, 37, 439–458. doi:10.1002/jcop.20305.

    Article  Google Scholar 

  • Leyva, V. L., Breshears, E. M., & Ringstad, R. (2014). Assessing the efficacy of LGBT cultural competency training for aging services providers in California’s Central Valley. Journal of Gerontological Social Work, 57(2–4), 335–348.

    Article  Google Scholar 

  • Long, J. (2008). Interracial and intercultural lesbian couples: The incredibly true adventures of two women in love. Couples & Relationship Therapy, 2(2/3), 85–101.

    Google Scholar 

  • Malouff, J. M., Thorsteinsson, E. B., Schutte, N. S., Bhullar, N., & Rooke, S. E. (2010). The five factor model of personality and relationship satisfaction of intimate partners: A meta-analysis. Journal of Research in Personality, 44, 124–127.

    Article  Google Scholar 

  • McCall, L. (2005). The complexity of intersectionality. Signs: Journal of Women in Culture and Society, 30 (3), 1771–1800.

    Google Scholar 

  • McGibbon, E., & McPherson, C. (2011). Applying intersectionality & complexity theory to address the social determinants of women’s health. Women’s Health & Public Policy, 10(1), 59–86.

    Google Scholar 

  • Meyer, I. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36(1), 38–56.

    Article  Google Scholar 

  • Meyer, I. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.

    Article  Google Scholar 

  • Meyer, H., & Johnston, T. R. (2014). The National Resource Center on LGBT Aging provides critical training to aging service providers. Journal of Gerontological Social Work, 57, 407–412.

    Article  Google Scholar 

  • Meyer, I. H., Schwartz, S., & Frost, D. M. (2008). Social patterning of stress and coping: Does disadvantaged status confer excess exposure and fewer coping resources? Social Science and Medicine, 67, 368–379.

    Article  Google Scholar 

  • Moone, R. P., Cagle, J. G., Croghan, C. F., & Smith, J. (2014). Working with LGBT older adults: an assessment of employee training practices, needs, and preferences of senior service organizations in Minnesota. Journal of Gerontological Social Work, 57(2–4), 322–334. doi:10.1080/01634372.2013.843630.

    Article  Google Scholar 

  • Moore, M. R. (2010). Articulating a politics of (multiple) identities: LGBT sexuality and inclusion in Black community life. Du Bois Review, 7(2), 1–20.

    Article  Google Scholar 

  • Moradi, B., Mohr, J. J., Worthington, R. L., & Fassinger, R. E. (2009). Counseling psychology research on sexual (orientation) minority issues: Conceptual and methodological challenges and opportunities. Journal of Counseling Psychology, 56(1), 5–22.

    Article  Google Scholar 

  • Movement Advancement Project, Services & Advocacy for Gay, Lesbian, Bisexual, & Transgender Elders, & Center for American Progress. (2010) LGBT older adults: Facts at a glance. Can be accessed from: http://lgbtagingcenter.org/resources/resource.cfm?r=22.

  • National Hispanic Council on Aging. (2014). In their own words: A needs assessment of Hispanic OGBT older adults. Retrieved January 18, 2015 from www.lgbtagingcenter.org/resources/pdfs/InTheirOwnWords.pdf.

  • National Senior Citizens Law Center et al. (2010). Stories from the field: LGBT older adults in long-term care facilities. Washington, DC: National Senior Citizens Law Center. Retrieved from: http://www.lgbtlongtermcare.org.

  • Omi, M., & Winant, H. (1994). Racial formation in the United States from the 1960s to the 1990s. New York, NY: Routledge.

    Google Scholar 

  • Orel, N. A. (2004). Gay, lesbian, and bisexual elders: Expressed needs and concerns across focus groups. Journal of Gerontological Social Work, 43(2/3), 57–77.

    Article  Google Scholar 

  • Otis, M. D., Rostosky, S. S., Riggle, E. D. B., & Hamrin, R. (2006). Stress and relationship quality in same-sex couples. Journal of Social and Personal Relationships, 23, 81–99. doi:10.1177/0265407506060179.

    Article  Google Scholar 

  • Pinderhughes, E. B. (2002). African American marriage in the 20th century. Family Process, 41(2), 269–282.

    Article  Google Scholar 

  • Porter, K. E., & Krinsky, L. (2014). Do LGBT aging trainings effectuate positive change in mainstream elder service providers? Journal of Homosexuality, 61(1), 197–216.

    Article  Google Scholar 

  • Portz, J. D., Retrum, J. H., Wright, L. A., Boggs, J. M., Wilkins, S., Grimm, C., et al. (2014). Assessing capacity for providing culturally competent services to LGBT older adults. Journal of Gerontological Social Work, 57(2–4), 305–321.

    Article  Google Scholar 

  • Purdie-Vaughns, V., & Eibach, R. P. (2008). Intersectional invisibility: The distinctive advantages and disadvantages of multiple subordinate-group identities. Sex Roles, 59(5–6), 377–391.

    Article  Google Scholar 

  • Raetz, T., & Lease, J. (2002). The construction of identity. Unpublished manuscript. Athens: University of Georgia.

    Google Scholar 

  • Rainbow Train. (2003). Rainbow train: Sexual/gender minority sensitivity trainings for providers of health and social services for elders [Brochure]. Seattle, WA: Author.

    Google Scholar 

  • Robinson-Wood, T. (2009). The convergence of race, ethnicity, and gender: Multiple identities in counseling (3rd ed.). Upper Saddle River, NJ: Merrill.

    Google Scholar 

  • Roccas, S., & Brewer, M. B. (2002). Social identity complexity. Personality and Social Psychology Review, 6(2), 88–106.

    Article  Google Scholar 

  • SAGE. (2013). Health equity and LGBT elders of color: Recommendations for policy and practice. Retrieved January 18, 2015 from http://sageusa.org/resources/publications.cfm?ID=203.

  • Schope, R. (2005). Who’s afraid of growing old?: Gay and lesbian perceptions of aging. Journal of Gerontological Social Work, 45, 23–39.

    Article  Google Scholar 

  • Settles, I. H. (2006). Use of an intersectional framework to understand black women’s racial and gender identities. Sex Roles, 54, 589–601.

    Article  Google Scholar 

  • Settles, I. H., & Buchanan, N. T. (2014). Multiple groups, multiple identities, and intersectionality. In V. Benet-Martinez & Y. Hong (Eds.), The Oxford handbook of multicultural identity (pp. 160–180). Oxford: Oxford University Press.

    Google Scholar 

  • Shippy, R. A. (2007). We cannot do it alone: The impact of informal support and stressors in older gay, lesbian and bisexual caregivers. Journal of Gay and Lesbian Social Services, 18(3/4), 39–51.

    Article  Google Scholar 

  • Siverskog, A. (2014). “They just don’t have a clue”: Transgender aging and implications for social work. Journal of Gerontological Social Work, 57(2–4), 386–406.

    Article  Google Scholar 

  • Social Security Administration. (2011). Annual statistical supplement to the social security bulletin, 2010. Retrieved January 18, 2015 from http://www.ssa.gov/policy/docs/statcomps/supplement.

  • Stirratt, M. J., Meyer, I. H., Ouellette, S. C., & Gara, M. A. (2007). Measuring identity multiplicity and intersectionality: Hierarchical classes analysis (HICLAS) of sexual, racial, and gender identities. Self and Identity, 7(1), 89–111.

    Article  Google Scholar 

  • Szymanski, D. M. (2005). Heterosexism and sexism as correlates of psychological distress in lesbians. Journal of Counseling and Development, 83, 355–360.

    Article  Google Scholar 

  • Szymanski, D. M., & Gupta, A. (2009). Examining the relationship between multiple internalized oppressions and African American lesbian, gay, bisexual, and questioning persons’ self-esteem and psychological distress. Journal of Counseling Psychology, 56(1), 110–118.

    Article  Google Scholar 

  • Tjepkema, M. (2008). Health care use among gay, lesbian, and bisexual Canadians. Health Reports, 19(1), 53–64.

    Google Scholar 

  • Tornstam, L. (2005). Gerotranscedence: A developmental theory of positive aging. New York, NY: Springer Publishing Company.

    Google Scholar 

  • Van Den Bergh, N., & Crisp, C. (2004). Defining culturally competent practice with sexual minorities: Implications for social work education and practice. Journal of Social Work Education, 40(2), 221–238.

    Google Scholar 

  • Van Sluytman, L. G., & Torres, D. (2014). Hidden or uninvited? A content analysis of elder LGBT of color literature in gerontology. Journal of Gerontological Social Work, 57(2–4), 130–160.

    Article  Google Scholar 

  • Weber, L. (1998). A conceptual framework for understanding race, class, gender, and sexuality. Psychology of Women Quarterly, 22, 13–22.

    Article  Google Scholar 

  • Weber, L., & Parra-Medina, D. (2003). Intersectionality and women’s health: Charting a path to eliminating health disparities. Advances in Gender Research, 7, 181–230.

    Article  Google Scholar 

  • Weston, K. (1991). Families we choose: Lesbians, gays, kinship. New York: Columbia University Press.

    Google Scholar 

  • Woody, I. (2014). Aging out: A qualitative exploration of ageism and heterosexism among aging African America lesbians and gay men. Journal of Homosexuality, 61, 145–165. doi:10.1080/00918369.2013.835603.

    Article  Google Scholar 

  • Young, R. M., & Meyer, I. H. (2005). The trouble with “MSM” and “WSW”: Erasure of the sexual-minority person in public health discourse. American Journal of Public Health, 95(7), 1144–1149.

    Article  Google Scholar 

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Correspondence to Melanie D. Otis .

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Appendices

Learning Activities

Self-Check Questions

  1. 1.

    Why is it important to understand why and how people are more than the sum of their parts?

  2. 2.

    What are some of the limitations of research on the LGBT population related to identity intersectionality within this population?

  3. 3.

    What are the fundamental assumptions used by social scientists to guide the study of identities?

  4. 4.

    What types of intersectionalities should be addressed when working with LGBT elders? Why are these important?

  5. 5.

    What are presenting problems between formal and informal care networks when working with LGBT elders?

Experiential Exercises

  1. 1.

    Develop a survey to determine how LGBT elders view their identities. Potential question can include how they define their identity (one vs. multiple), how they rank their identities, how elements of their identity fit with the majority or dominant group, and so forth.

  2. 2.

    “Walk a mile in an LGBT person’s shoes”—(a) imagine yourself as an LGBT older person, (b) think of issues that you will have address because of your intersection of identities (e.g., what are the cultural concerns, what are the communication concerns), and (c) what types of strategies do you recommend to address these concerns.

  3. 3.

    As a human service provider, develop a protocol for your work setting that is inclusive of LGBT elders, keeping in mind that their multiple identities must be addressed.

Multiple-Choice Questions

  1. 1.

    An individual who is a lesbian, Latino, and age 70 is considered to be which of the following?

    1. (a)

      A triad member

    2. (b)

      Risk of triple jeopardy

    3. (c)

      Nexus of sexual orientation

    4. (d)

      Decreased risk of discrimination

  2. 2.

    Which of the following refers to the movement through various activities, interactions, and cognitive processes over the course of time in which different aspects of one’s identity may be more or less salient?

    1. (a)

      Single identities

    2. (b)

      Compounded identities

    3. (c)

      Fluidity of identity

    4. (d)

      Particular identity

  3. 3.

    Which of the following is attributed to differences in mental, physical, and economic well-being due to  shouldering the weight of oppression disproportionately?

    1. (a)

      Multiple stigmatized identities

    2. (b)

      Residence in certain regions of the country

    3. (c)

      Type of employment

    4. (d)

      Multiple personality disorders

  4. 4.

    Which of the following is at the heart of feminist intersectionality theory?

    1. (a)

      Isms can be understood in separate parts

    2. (b)

      Isms must be understood as the result of complex intersection of different identities

    3. (c)

      Isms can be viewed in isolation

    4. (d)

      Isms can best be understood as additive to other identities

  5. 5.

    Which of the following is particularly important for human service providers to understand in working with older sexual minorities?

    1. (a)

      The centrality of families of choice

    2. (b)

      Greater likelihood that KGBT elders may be less likely to have a traditional family network

    3. (c)

      LGBT elders are likely to be single and often isolated

    4. (d)

      All of the above

    5. (e)

      None of the above

  6. 6.

    Which of the following is an accurate description of identity?

    1. (a)

      Identities are innate qualities

    2. (b)

      Identities are socially constructed

    3. (c)

      Identities are fixed and static

    4. (d)

      Identities are unidimensional

  7. 7.

    Which of the following is a good strategy for human service providers working with LGBT elders?

    1. (a)

      It is important to share their identity with other service providers

    2. (b)

      Exclude LGBT—specific language in agency brochures and materials as not to embarrass them

    3. (c)

      Do not assume heterosexuality or gender identity when a client is married or have children or grandchildren

    4. (d)

      Avoid using categories other than male or female sex or gender question to protect client confidentiality

  8. 8.

    Who is credited with construction of the concept of families of choice?

    1. (a)

      Albert Ellison

    2. (b)

      Vivian Cass

    3. (c)

      Sigmund Freud

    4. (d)

      Kath Weston

  9. 9.

    Which of the following is an organizing tool for understanding how human beings create and maintain a sense of self?

    1. (a)

      Identity

    2. (b)

      Personality

    3. (c)

      Family of origin

    4. (d)

      Family of choice

  10. 10.

    Which of the following best describe human service agencies preparedness to work with LGBT Elders?

    1. (a)

      Highly qualified

    2. (b)

      Inadequately qualified

    3. (c)

      Interdisciplinary trained

    4. (d)

      Culturally competent

Key

  • 1-B

  • 2-C

  • 3-A

  • 4-B

  • 5-D

  • 6-B

  • 7-C

  • 8-D

  • 9-A

  • 10-B

Resources

  • Center for Intersectionality & Social Policy Studies: www.intersectionality-center.org.

  • Lee, D., & Noble, M. (2014). “Addressing whole identities or fragmented livesAn introductory service provision and employer guide to multiple identities and discrimination in Northern Ireland. www.rainbow-project.org/assets/publications/addressingwholeidentitiesorfragmentedlives.pdf.

  • Nettles, R., & Balter, R. (eds.). (2012). Multiple minority identities: Applications for practice, research, and training. New York, NY: Springer.

  • Vakalahi, H. F. O., Simpson, G. M., & Giunta, N. (Eds.). (2014). The collective spirit of aging across cultures. New York, NY: Springer.

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Otis, M.D., Harley, D.A. (2016). The Intersection of Identities of LGBT Elders: Race, Age, Sexuality, and Care Network. In: Harley, D., Teaster, P. (eds) Handbook of LGBT Elders. Springer, Cham. https://doi.org/10.1007/978-3-319-03623-6_5

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