Older Black Lesbians’ Needs and Expectations in Relation to Long-Term Care Facility Use

Mekiayla Singleton (), Mary Anne Adams and Tonia Poteat
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Mekiayla Singleton: Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA 90089, USA
Mary Anne Adams: ZAMI NOBLA: National Organization of Black Lesbians on Aging, Atlanta, GA 30364, USA
Tonia Poteat: Department of Social Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA

IJERPH, 2022, vol. 19, issue 22, 1-11

Abstract: There is a dearth of long-term care research that focuses on the expectations and experiences of older sexual minority (SM) adults. That research dwindles further when examining subgroups within that population such as older Black lesbians. The purpose of this study was to explore older Black lesbians’ needs and expectations in relation to the utilization of long-term care (LTC) facilities. We conducted secondary data analysis using data from 14 focus groups that discussed health and aging with older Black lesbians. Transcriptions were analyzed in NVivo using deductive content analysis and structural coding. Three themes were identified in relation to needs and expectations for LTC facility use: (1) consideration or established plans to utilize a LTC facility, (2) concern for care facility environment, and (3) a desire to build one’s own community. These findings illustrate how older Black lesbians are planning for a potential need for LTC, their concerns about utilizing LTC, and alternative approaches to avoid LTC use. There remains a continued need for LTC communities that are inclusive and supportive of SM older adults as well as more SM-only communities where older adults can live openly and authentically.

Keywords: sexual minorities; care plans; LGBT; person-centered care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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