Connect with us

News

LGBTQ Elders Are More Likely to Be Socially Isolated, Suffer from Dementia Than Straight Peers

Published

on

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.

Continue Reading
Click to comment
 
 

Enjoy this piece?

… then let us make a small request. The New Civil Rights Movement depends on readers like you to meet our ongoing expenses and continue producing quality progressive journalism. Three Silicon Valley giants consume 70 percent of all online advertising dollars, so we need your help to continue doing what we do.

NCRM is independent. You won’t find mainstream media bias here. From unflinching coverage of religious extremism, to spotlighting efforts to roll back our rights, NCRM continues to speak truth to power. America needs independent voices like NCRM to be sure no one is forgotten.

Every reader contribution, whatever the amount, makes a tremendous difference. Help ensure NCRM remains independent long into the future. Support progressive journalism with a one-time contribution to NCRM, or click here to become a subscriber. Thank you. Click here to donate by check.

News

Revealed: Trump Paid Off Millions in Secret Debt to North Korea-Linked Company While in Office

Published

on

There is a “chance” Donald Trump didn’t break the law by hiding debt from his 2016 presidential campaign’s financial disclosure reports, according to Forbes.

Documents obtained by the outlet show that the then-candidate failed to disclose $19.8 million in debt to Daewoo, a South Korean company with a history of ties to North Korea.

“There is a chance that Trump’s omission may have been legal,” the report said, noting that Trump may have used a loophole in the law.

“Although officials have to list personal loans on their financial disclosures, the law does not require them to include loans to their companies, unless they are personally liable for the loans. The Trump Organization documents do not specify whether the former president, who owned 100% of the entities responsible for the debt, personally guaranteed the liability, leaving it unclear whether he broke the law or merely took advantage of a loophole.”

Forbes also pointed out that Trump may have hidden the debt because Daewoo, at one time, “was the only South Korean company permitted to operate a business inside [North Korea].”

The documents, which were disclosed after being obtained by New York Attorney General Letitia James, said that Trump quickly eliminated the debt after taking office.

“Daewoo was bought out of its position on July 5, 2017,” one document explained.

ALSO IN THE NEWS: ‘Full steam ahead’ for DOJ after ‘worst legal week that Trump has ever seen’: former prosecutor

Continue Reading

News

‘Big Whop’: Even Right-Wing Critics Are Slamming Elon Musk’s ‘Underwhelming’ Hunter Biden Twitter Escapade

Published

on

Right-wing Twitter users are weighing in to express their disapproval of the so-called bombshell “Twitter files” Elon Musk promised to deliver on Friday, December 2.

According to The Daily Beast, Musk was set to address Twitter’s decision to implement a policy that would restrict headlines and reports about Hunter Biden’s laptop from circulating on the social media platform. However, the leak ended up being a failure for many right-wing experts.

Sebastian Gorka, a right-wing radio host who previously served under the Trump administration, offered a critical response to Musk’s release after journalist Matt Taibbi shared a full Twitter thread about the findings.

READ MORE: Trump plotted to trade Mar-a-Lago files for ‘sensitive documents’ about his 2016 campaign Russia ties: report

“So far, I’m deeply underwhelmed,” Gorka said, adding, “We know the Dems in DC collude with the Dems in Palo Alto [Califonia]. Big Whop.”

He went on to reiterate his arguments when grilled by his far-right followers who were convinced that Musk’s Twitter files were some kind of “smoking gun.”

Per the news outlet: “Responding to a user claiming the Twitter company emails were ‘a clear violation of the 1st Amendment,’ the radio host fired back: ‘Err no, it’s not the DNC asking a private company to censor has nothing to do with the First Amendment.’”

Speaking to Fox News’ Tucker Carlson, New York Post columnist Miranda Devine also disapproved of the release. “I feel that Elon Musk has held back some material,” she alleged. According to The Beast, Devine also claimed: “sinister forces were perhaps controlling Musk after the Twitter chief took a meeting with Apple CEO Tim Cook earlier in the week.”

READ MORE: Marco Rubio: ‘Not a crime’ to break federal law by taking top secret national security documents from the White House

She added, “In particular, there’s a tweet in which Matt Taibbi says he hasn’t seen any evidence that law enforcement specifically warned off Twitter from our story. But that’s just not correct.”

Free Beacon reporter Joe Simonson also echoed similar sentiments on Twitter. “Twitter files [are] underwhelming so far,” Simonson tweeted. “Just revealing what we already knew: Twitter was staffed by democrats who did the bidding of Democrats.”

READ MORE: Lauren Boebert to file defamation lawsuit against PAC claiming that she was once a ‘paid escort’: report

 

Image by Daniel Oberhaus (2018) via Flickr and a CC license

Continue Reading

News

Fox News Chief Lachlan Murdoch to Be Deposed in $1.6 Billion Dominion Defamation Case

Published

on

Lachlan Murdoch, the executive chairman and CEO of Fox News‘ parent company, Fox Corporation, is set to be deposed next week in a $1.6 billion defamation lawsuit. Dominion Voting Systems, which manufactures voting machines, claims the eldest Murdoch son and his father, Rupert Murdoch, have responsibility in Fox News promoting pro-Trump false election fraud claims it says has caused its company harm.

Murdoch is “scheduled to face questions from Dominion’s lawyers on Monday in Los Angeles, according to multiple reports, and will be the highest-ranking official at Fox to be deposed by Dominion,” The Hill reports.

Fox News propagandists Sean Hannity and Tucker Carlson have already faced Dominion’s attorneys.

READ MORE: Tucker Carlson’s ‘Nakedly Fascist Propaganda’ Leads to Resignations, Internal Outrage, Public Fury – and a Silent Murdoch

After a federal judge in June ruled the case could move forward, Law & Crime explained, “Dominion’s lawsuit contends that Rupert and his son Lachlan Murdoch personally caused Fox News to broadcast false claims about their role in the 2020 election, even though the Murdochs knew former President Donald Trump’s election fraud narrative was false.”

Rupert Murdoch reportedly spoke with Donald Trump just days after the 2020 presidential election to tell him he had lost.

Judge Eric M. Davis ruled there is “a reasonable inference that Rupert and Lachlan Murdoch either knew Dominion had not manipulated the election or at least recklessly disregarded the truth when they allegedly caused Fox News to propagate its claims about Dominion.”

READ MORE: Fox News Corporate Chief Shrugs Off Complaints of Network’s White Nationalism: ‘Comes With the Territory’

“Dominion has successfully brought home actual malice to the individuals at Fox Corporation who it claims to be responsible for the broadcasts,” Judge Davis added, Law & Crime reported.

A federal judge has rejected Fox News’ First Amendment defense. The case is expected to be argued before a jury early next year.

Continue Reading

Trending

Copyright © 2020 AlterNet Media.