LGBTQ Elders Are More Likely to Be Socially Isolated, Suffer from Dementia Than Straight Peers
A new report by University of California San Francisco is making a big claim: LGBT people are at heightened risk of dementia. Additionally, LGBT elders are more likely to be socially isolated than their straight cisgender counterparts, and this social isolation can lead to more physical and mental health problems in comparison.
The new data was released at the 2019 Alzheimer’s Association International Conference (AAIC) in Los Angeles. Data was collected via mainly phone-based surveys across nine U.S. states. Approximately 44,000 adults aged 45 and older participated wherein roughly 3% of respondents identified themselves as a “sexual or gender minority.”
Another study presented at AAIC 2019 investigated the effectiveness of a first-of-its-kind Alzheimer’s intervention designed specifically to improve physical function and independence for LGBT older individuals with dementia and their caregivers.
The study, conducted by researchers at the University of Washington, showed the importance of tailored interventions and strong community partnerships in designing care for LGBT individuals.
“Much too little is known about Alzheimer’s disease and dementia in the LGBT community. In fact, the first data on the prevalence of dementia among sexual and gender minorities was reported only last year at AAIC 2018,” said Maria C. Carrillo, PhD, Alzheimer’s Association chief science officer.
“As expanding research efforts continue to teach us more about the variability of Alzheimer’s and other dementias — for example by sex, race, genetics and exposure to environmental factors — the Alzheimer’s Association will fund, and encourage others to fund, more studies in LGBT and other diverse populations,” Carrillo added.
Increased Risk for Subjective Cognitive Decline Among Sexual and Gender Minorities
Few studies have investigated the symptoms and disease progression of Alzheimer’s and other dementias in the LGBT community.
To examine these associations, Jason Flatt, PhD, MPH, assistant professor at the Institute for Health & Aging at the University of California, San Francisco, and colleagues analyzed data from the 2015 Behavioral Risk Factor Surveillance System (BRFSS), a large phone-based survey led by the Centers for Disease Control and Prevention.
The study analyzed data from 44,403 adults aged 45 and older across nine states in the U.S. (Georgia, Hawaii, Illinois, Minnesota, Nevada, Ohio, Virginia, West Virginia, and Wisconsin) that participated in the 2015 BRFSS optional modules on the Healthy Brain Initiative, which included subjective cognitive decline and Sexual Orientation and Gender Identity.
Roughly three percent of participants (1,253) identified as a sexual or gender minority (SGM). Subjective cognitive decline was defined as self-reported confusion or memory problems that have been getting worse over the past year.
The researchers found that more than 14% of SGM participants reported subjective cognitive decline, significantly higher (p<0.0001) than the 10% rate among cisgender heterosexual participants. Even after adjusting for factors such as income, age and race, SGM participants were 29% more likely to report subjective cognitive decline.
More research is needed to understand why subjective cognitive decline may be higher in SGM individuals.
“Given that 1 in 7 adults who identified as a sexual or gender minority reported subjective cognitive decline, it is critical that more opportunities exist for people in these communities to receive regular evaluation for cognitive impairment and Alzheimer’s disease,” Flatt said. “There is also a need for greater education on Alzheimer’s risk, signs and symptoms, and training of health care providers to ensure inclusive and welcoming care for LGBTQ+ populations.”
“While we do not yet know for certain why sexual or gender minority individuals had higher subjective cognitive decline, we believe it may be due to higher rates of depression, inability to work, high stress, and a lack of regular access to healthcare,” Flatt added.
According to Flatt, less than half of SGM adults with SCD in the study talked to their health care provider about it. SGM adults with SCD were also more likely to report that they had to give up day-to-day activities (39% vs. 29%, p=0.003) and needed help with household tasks (44% vs. 35%, p=0.01) than cisgender heterosexual participants. Both groups were similar in terms of talking to their health care provider about their subjective cognitive decline.
First Study of an LGBT-Specific Alzheimer’s and Dementia Intervention
To advance research into Alzheimer’s in the LGBT community, Karen Fredriksen-Goldsen, PhD, professor and director of Healthy Generations Hartford Center of Excellence at the University of Washington, created the Aging with Pride: Innovations in Dementia Empowerment and Action (IDEA) study.
A multisite study in Seattle, San Francisco, and Los Angeles, Aging with Pride: IDEA is the first federally-funded study dementia intervention specifically designed for LGBT older adults with dementia and their caregivers.
The researchers had previously identified unique risk factors of LGBT older adults living with dementia through the first longitudinal study of this population (Aging with Pride: National Health, Aging, and Sexuality/Gender Study). Using longitudinal data with three time points (2014, 2015 and 2016), modifiable factors predicting physical functioning and quality of life (QOL) among LGBT older adults with dementia (n=646) were identified.
LGBT older adults living with dementia were significantly more likely to live alone (nearly 60%), not be partnered or married (65%), not have children (72%), and not have a caregiver (59%), when compared to older non-LGBT adults living with dementia. Previous experiences of discrimination and victimization (b=-0.19, p<.001) were negatively associated with QOL among LGBT older adults living with dementia. Socializing with friends or family (b=1.11, p<.05) was positively associated with QOL, and physical activity (b = 0.26, p<.001) were associated with better physical functioning.
As reported at AAIC 2019, Aging with Pride: IDEA includes a tailored approach in which trained coaches identify and modify challenging behaviors that are adversely affecting older adults living with dementia and their caregivers, either of whom are LGBT. The coaches delivered an individualized program of exercise, and behavioral and coping strategies designed to improve physical function, independence and QOL.
The exercise intervention is a low-impact physical exercise program including nine one-hour sessions over six weeks designed to improve physical functioning and maintain independence. The behavior and coping strategies include: techniques for working with LGBT-specific trauma, identity management and disclosure of their LGBT identities to providers and others, plus support engagement in the LGBT community and dementia services.
Testing of the intervention is now underway and will be delivered to 225 pairs of LGBT older adults living with dementia and their caregivers.
“Given their lifetime experiences of victimization, discrimination and bias, many LGBT older adults forgo seeking needed medical care,” said Fredriksen Goldsen. “LGBT people living with dementia and their caregivers often have difficulty accessing information and support services, which can be especially challenging when memory loss and dementia enter the equation.”
Image via GenPride.
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Trump Lawyers in Classified Docs Case Quit Hours After Indictment: Report
Attorneys representing Donald Trump in the U.S. Dept. of Justice’s prosecution of the former president on what reportedly are seven categories of federal felonies have resigned from representing him, just hours after a grand jury indicted their client.
“Two lawyers who represented Donald Trump in the months before he was indicted on federal charges over his handling of classified documents quit working for him Friday morning,” CNBC reports.
“This morning we tendered our resignations as counsel to President Trump, and we will no longer represent him on either the indicted case or the January 6 investigation,” Trump attorneys Jim Trusty (photo) and John Rowley said in a joint statement, according to CNN’s Alayna Treene.
“The attorneys,” CNBC also reported, “did not explain in detail why they had resigned, other than to say that ‘this is a logical moment’ to do given his indictment Thursday in U.S. District Court in Miami.”
READ MORE: ‘Disgraced’ Trump-Appointed Florida Judge Initially Assigned to Oversee Ex-President’s Criminal Case: Report
The Guardian’s Hugo Lowell reports, “Trump announces on Truth Social that Todd Blanche will be his criminal defense attorney in the Mar-a-Lago docs case with another firm yet to be named. Jim Trusty and John Rowley are out.”
This is far from the first time Trump’s lawyers have quit.
Less than one month ago, as Alternet reported, “Timothy Parlatore, an attorney for Donald Trump, made a major announcement on Wednesday, May 17: He is leaving the former president’s legal team.”
Trusty appeared on CNN just Thursday night, to defend Trump.
Watch video below or at this link.
CNN lets Trusty make unsubstantiated claims 5 times, lets him to make false claims about the Special Counsel, lets him call a warranted search a raid (tho does finally call him on talking about THAT but not when he got a target letter). https://t.co/YEoBYnLzRt
— emptywheel (@emptywheel) June 9, 2023
This is a breaking news and developing story. Details may change.
‘Disgraced’ Trump-Appointed Florida Judge Initially Assigned to Oversee Ex-President’s Criminal Case: Report
A federal judge whose highly-controversial rulings favoring Donald Trump were derided by legal experts and judges on a higher court, has been initially assigned to the U.S. Dept. of Justice’s criminal case against the ex-president, who appointed her to the bench three years ago.
Judge Aileen Cannon, known for agreeing to Trump’s request by assigning a special master to review the entirety of federal government documents the FBI retrieved from Mar-a-Lago last summer during the execution of a search and seizure warrant will, at least for now, oversee the government’s case allegedly charging Donald Trump with seven different felony categories in its classified documents probe, according to ABC News.
“The summons sent to former President Donald Trump and his legal team late Thursday indicates that U.S. District Judge Aileen Cannon will be assigned to oversee his case, at least initially, according to sources briefed on the matter,” ABC News reports.
READ MORE: Trump Lawyers Blindsided by Existence of Bombshell Recording – ‘They Don’t Know How to Defend This’: Maggie Haberman
“Cannon’s apparent assignment would add yet another unprecedented wrinkle to a case involving the first federal charges against a former president: Trump appointed Cannon to the federal bench in 2019, meaning that, if Trump is ultimately convicted, she would be responsible for determining the sentence – which may include prison time – for the man who elevated her to the role.”
Cannon, agreeing to Trump’s request to appoint a special master last September, also halted the Dept. of Justice’s use of those materials, which included at least one hundred classified documents, in its criminal investigation into Trump.
Harvard University professor emeritus of constitutional law, Laurence Tribe, called Judge Cannon’s special master decision “utterly lawless,” and said: “She has disgraced her position as an Article III judge.”
ABC News notes that “Legal experts [had] accused Cannon of handing Trump a series of head-scratching victories over the course of those proceedings,” and added, “Cannon’s order was ultimately thrown out in its entirety by an 11th Circuit Court of appeals panel, which found she overstepped in exercising her jurisdiction in the probe.”
The 11th Circuit issued a scathing rebuke of Judge’ Cannon’s decision to appoint the special master. One week later, without explanation or reasoning, she overruled the special master’s decision and extended deadlines – decisions which favored Donald Trump.
RELATED: ‘Pure Essence of Judicial Corruption’: Morning Joe Panelists ‘Stunned’ by Cannon’s Ruling on Classified Docs
Cannon is not the only judge whose name appears on the summons.
“In addition to Cannon, Magistrate Judge Bruce Reinhart’s name also appeared on the summons sent to Trump on Thursday, the sources said,” ABC adds. “Reinhart, who was sworn in as a magistrate judge in 2018, is also familiar with the proceedings against Trump: he signed off on the initial search warrant of Mar-a-Lago last year and later ruled to unseal the search affidavit – decisions that made him the target of antisemitic jabs on the internet.”
The New York Times in August of last year reported, “in a segment on Fox News, a host showed a manipulated photo that appeared to show Judge Reinhart seated on a plane with Ghislaine Maxwell, Mr. [Jeffrey] Epstein’s companion who had been convicted last year of aiding Mr. Epstein in sexually abusing minors.”
Brian Kilmeade, the Fox News host, the following day tweeted: “Last night while subbing for Tucker Carlson, we showed you an image of Judge Bruce Reinhart w/ Ghislaine Maxwell that was sourced on screen to a meme pulled from Twitter & wasn’t real. This depiction never took place & we wanted to make clear that we were showing a meme in jest.”
READ MORE: SCOTUS ‘Surprise’ Voting Rights Decision Could – and Did – Have Big Implications for Democrats, Legal Experts Say
The Times noted “the scrutiny of Judge Reinhart has also prompted the local authorities to step up security. His synagogue canceled a Friday night Shabbat service last week in response to multiple antisemitic threats, and the police in his neighborhood said officers had intensified patrols near his house.”
Professor of Law Joyce Vance, an NBC News/MSNBC contributor and former U.S. Attorney responded to the news of Cannon’s assignment. Pointing to an earlier case as precedent, Vance says: “This is persuasive authority that Judge Cannon must step aside if the case falls to her as a permanent assignment. Her court & certainly the 11th [Circuit] won’t tolerate the damage it would do to their credibility if she failed to voluntarily recuse.”
Trump Lawyers Blindsided by Existence of Bombshell Recording – ‘They Don’t Know How to Defend This’: Maggie Haberman
CNN on Friday morning obtained a bombshell transcript of a recording in which former President Donald Trump boasts of retaining “secret” military information that he never declassified while he was president.
Appearing on CNN shortly after this news broke, New York Times reporter Maggie Haberman revealed that the former president’s team was essentially blindsided by this recording’s existence.
“I don’t think they quite know how to defend this… from what we have heard,” she said. “They were… startled by the existence of this tape. This tape was something that they learned existed when this aide to Trump testified. The prosecutors were already in possession of this tape. They didn’t get it from the aide, although it appears the aide had a copy when it was subpoenaed later, but this is has been described to us by multiple sources… as a really problematic piece of evidence for Trump.”
Haberman predicted that the recording’s existence would not change the Trump legal team’s overall defense strategy, however.
READ MORE: ‘He’s just not that smart’: Trump buried by Morning Joe for handing investigators all they need
“I think they are going to stick that their line: ‘He says things, he didn’t mean it a certain way,'” she said. “I am sure they can come up with all kinds of explanations for why he used the language he used. But it’s on tape.”
Trump is due in court in Miami next week to face seven felony counts related to his handling of top-secret government documents.
Watch the video below or at this link.
Image via Shutterstock
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