Dementia Among LGBT Adults in US Typical of General Public But Challenges May Be Greater, Report Notes

Dementia Among LGBT Adults in US Typical of General Public But Challenges May Be Greater, Report Notes
Results of a first, large-scale study into the prevalence of dementia among lesbian, gay, and bisexual older adults in the U.S. were recently announced at an Alzheimer's conference — and while findings largely mirrored the general population, they also underscored a patient population that is vulnerable and with special challenges. Those findings —  released as a report of the Alzheimer’s Association and the Services and Advocacy for GLBT Elders (SAGE) at the association's recent 2018 international Alzheimer's conference — included noting that 40 percent of lesbian, gay, and bi- and transexual (LGBT) adults ages in their 60s and 70s do not share their sexual orientation with their healthcare providers. The study, “Dementia Prevalence Among Sexual Minority Older Adults,” examined the prevalence of dementia among 3,718 LGBT adults, ages 60 and older, taking part in  in the Kaiser Permanente Research Program on Genes, Environment, and Health (RPGEH) between January 2007 and July 2016. This is a large study of genetic and environmental factors that contribute to disease. Dementia diagnoses were collected from medical records, and analyzed by University of California, San Francisco and Kaiser Permanente Division of Research scientists. Among the participants, 43.6% were females and 14.1% had an education of high school or less. About 81.2% were white, 10.2% Asian, 4.4% Latino, and 3.5% were black. Thirty-eight percent identified as bisexual, 36.8% as gay, and 25.2% as lesbian. During the 9.5 years of follow-up, about 7.4% of participants developed dementia (all sorts, including that related to Alzheimer's). This figure is close to the 10% reported by the Alzheimer’s Association's Alzheimer’s Disease Facts and Figures for all adults in
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