COGNITIVE IMPAIRMENT AMONG OLDER ADULTS WITH INTERSECTING SEXUAL, GENDER, RACIAL, AND ETHNIC MINORITY IDENTITIES

Abstract Emerging research shows Lesbian, gay, bisexual, transgender, and queer (LGBTQ) older adults experience higher prevalence of cognitive impairment when compared to their heterosexual and cisgender peers of a similar age. The same is true for racial and ethnic minority older adults when compar...

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Published in:Innovation in aging 2023-12, Vol.7 (Supplement_1), p.214-214
Main Authors: Kim, Hyun-Jun, Oswald, Austin, Jung, Hailey, Fredriksen-Goldsen, Karen
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container_issue Supplement_1
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container_title Innovation in aging
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creator Kim, Hyun-Jun
Oswald, Austin
Jung, Hailey
Fredriksen-Goldsen, Karen
description Abstract Emerging research shows Lesbian, gay, bisexual, transgender, and queer (LGBTQ) older adults experience higher prevalence of cognitive impairment when compared to their heterosexual and cisgender peers of a similar age. The same is true for racial and ethnic minority older adults when compared to their White counterparts. Little is known about the cognitive health of older adults with intersecting sexual, gender, racial, and ethnic minority identities, highlighting a critical gap in gerontological research that requires further investigation. This study utilizes four time-point data from the first longitudinal study of a racially and ethnically diverse sample of LGBTQ older adults. Multilevel mixed models accounting for intersecting sexual, gender, racial, and ethnic identities were applied to examine subgroup differences in cognitive impairment as well as risk and protective factors after controlling for confounding factors. Black and Hispanic LGBTQ minority older adults (b=5.20, p
doi_str_mv 10.1093/geroni/igad104.0707
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The same is true for racial and ethnic minority older adults when compared to their White counterparts. Little is known about the cognitive health of older adults with intersecting sexual, gender, racial, and ethnic minority identities, highlighting a critical gap in gerontological research that requires further investigation. This study utilizes four time-point data from the first longitudinal study of a racially and ethnically diverse sample of LGBTQ older adults. Multilevel mixed models accounting for intersecting sexual, gender, racial, and ethnic identities were applied to examine subgroup differences in cognitive impairment as well as risk and protective factors after controlling for confounding factors. Black and Hispanic LGBTQ minority older adults (b=5.20, p&lt;.01; b=4.05, p&lt;.01) experience higher levels of cognitive impairment over time when compared to their White LGBTQ peers. Day-to-day discrimination targeting the confluence of sexual/gender and racial/ethnic minority status (b=2.78, p&lt;.05) was positively associated with higher cognitive impairment. Community engagement (b=-.46, p&lt;.05) was negatively associated with cognitive impairment regardless of race and ethnicity whereas network size was exclusively negatively associated with cognitive impairment for Black LGBTQ older adults. 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title COGNITIVE IMPAIRMENT AMONG OLDER ADULTS WITH INTERSECTING SEXUAL, GENDER, RACIAL, AND ETHNIC MINORITY IDENTITIES
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