LGBTQIA+ adults—particularly older individuals—are 26 percent more likely to delay their healthcare needs and treatment, which creates particular challenges for the aging population as they enter a phase when proactive care and early detection of disease can be particularly impactful toward their health. Travis Wheeler, MD, a family medicine specialist with The Christ Hospital Physicians-Primary Care, shares some insights into how this patient group can enjoy healthier aging.
“Older LGBTQIA+ people were at the forefront of the gay rights movement. We owe so much based on what they’ve done,” he says. “Ensuring they are well cared for and that we can meet their health needs is one way we can honor their legacy.”
Health challenges for older LGBTQIA+ individuals
Like all people, LGBTQIA+ older adults can face high blood pressure, diabetes, cancer, and other conditions. But they are also at greater risk for some health challenges, particularly depression, dementia, and substance use, than patients who do not identify as part of the LGBTQIA+ community.
Difficulty finding doctors
For many people, finding a doctor who makes you feel seen and heard is key to protecting your health. But it can be hard to find the right fit, especially for LGBTQIA+ older adults who may be more reluctant to discuss sexual orientation or feel comfortable speaking openly with their provider due to generational norms. In fact, LGBTQIA+ individuals are twice as likely as straight cisgender patients to feel dismissed by their doctor.
That’s why Dr. Wheeler encourages patients to find a healthcare provider with whom they feel comfortable and who is supportive and welcoming.
“Healthcare is so important and so personal. Everyone should feel comfortable with their care providers,” he says. “The LGBTQIA+ population should feel empowered to find another doctor if they feel like they’re in the wrong place.”
Dr. Wheeler recommends resources like SAGE and the LGBTQ+ Healthcare Directory. These organizations, along with the provider directory and Pride Resource Page of The Christ Hospital Health Network providers who specialize in LGBTQIA+ health, can help LGBTQIA+ older adults locate a physician experienced in meeting the unique health needs of the queer community.
Long-term care facility struggles
For older adults, high-quality long-term care can be essential. However, finding good options can be difficult. And LGBTQIA+ older individuals have added concerns. Roughly 10 percent have been refused care or experienced abusive language from a healthcare professional. So, it’s important to identify a long-term care option that offers an open, accepting environment and staff.
Dr. Wheeler recommends looking for queer-friendly signs and symbols when searching for a facility.
“People in the queer community know to look for certain things,” he says. “If you see rainbows or other ally symbols, then you know it’s a safe place. You can feel more comfortable asking questions about whether residents are welcoming and their staff’s competency and training with diversity and inclusion.”
Single and childless
Many LGBTQIA+ older adults have strained relationships with their blood-related families. They’re also twice as likely to be single and live alone. In addition, they’re four times less likely to have children. As a result, many rely on their chosen family, who are aging alongside them, for help.
“As you get older, your chosen family has their own health struggles, too,” Dr. Wheeler says. “And, unless you’ve given them healthcare power of attorney or have advanced directives in place, they may not be able to make healthcare decisions for you.”
The value of a primary care provider who specializes in LGBTQIA+ health
A solid relationship with a primary care provider (PCP) is the gateway LGBTQIA+ older adults need to have more control over their healthcare, Dr. Wheeler says. Through open, honest communication about their health concerns and needs, these individuals can partner with their doctor in shared decision-making about their care.
A good doctor-patient foundation is also helpful when LGBTQIA+ older adults need more advanced care.
“When these older patients have a comfortable relationship with their PCP, it’s easier for them to find the specialty care they need,” Dr. Wheeler says. “Their PCP can help direct them to specialists who will make them feel safe and deliver care with kindness and compassion.”
Overall, Dr. Wheeler encourages LGBTQIA+ older adults to embrace a closer relationship with their primary care provider where they feel free to discuss their sexual orientation.
“Similar to diet, exercise, and other aspects of your health history, your sexual orientation and gender identity are critical health factors that contribute to all areas of your well-being,” he says. “And for LGBTQIA+ older adults, being able to have an open, comfortable conversation with their doctor can help them overcome many of the health challenges they face.”
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