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Abstract

LGBT elders will be a subset of the aging population in the United States with unique needs as they age. During their lifetimes, LGBT elders have experienced social, political, and medical discrimination from their peers, the government, and their doctors. This accumulation of life experiences has led to a distinct fear of aging and finding the appropriate care needs. Much of the literature on LGBT aging and health focuses on the findings without embedding them in theoretical work or solely on theories of stigma without proposing intervention. In this dissertation, I look at three areas of navigating aging and health needs using established sociological theories, suggesting interventions and noting the resilience of older LGBT adults. Drawing on 80 in-depth interviews with both straight cisgender older adults and lesbian, gay, bisexual, and transgender adults over the age of 50 in the Chicago area; 300+ hours of community observation at a community center that assisted all elders, but specialized in LGBT needs; and secondary data analysis of online material denoting engagement with the LGBT community in Chicago area long-term care facilities, I show that care standards do not meet elders’ needs to find LGBT-friendly providers, navigate care from their social networks, or find care in long-term care facilities. In Essay I find that sometimes white, educated, economically privileged older adults can draw on their particular resources to find the care they need. In Essay II I find that in other cases, older LGBT adults who do not mirror traditional family structures must reach the depths of their social network for assistance during aging. Finally, in Essay III I show that when networks cannot care for LGBT elders, elders struggle to find care that will meet their needs, even in a large city like Chicago. Overall, this work considers how LGBT elders' aging experience relates to the life course and health outcomes, proposing interventions along the way.

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