A Review of Minority Stress as a Risk Factor for Cognitive Decline in Lesbian, Gay, Bisexual, and Transgender (LGBT) Elders.
A Review of Minority Stress as a Risk Factor for Cognitive Decline in Lesbian, Gay, Bisexual, and Transgender (LGBT) Elders.
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DOI：
10.1080/19359705.2019.1644570
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发表时间：
2020
影响因子：
1.6
通讯作者：
Nielson KA
中科院分区：
文献类型：
--
作者：
Correro AN 2nd;Nielson KA
女同性恋、男同性恋、双性恋和变性人（LGBT）老年人构成了老龄化人口中一个独特且不断增长的群体。他们成年的历史背景充满了受害和歧视。这些经历是主观压力，统称为少数民族压力。年长的LGBT成年人在日常生活中继续面临着与他们的性别和性身份有关的压力。重要的是，慢性少数民族压力（CMS），像其他形式的慢性压力一样，对健康和福祉有害。CMS导致了LGBT群体的健康差异，包括心血管疾病和抑郁症，这些疾病反过来又增加了过早认知能力下降的风险。此外，长期接触应激激素与大脑加速衰老有关。然而，对于LGBT老年人的认知功能以及CMS对其认知的影响，目前尚无研究。在这篇综述中，我们研究了CMS对LGBT老年人的影响，并将这些影响与现有的压力和认知衰老研究联系起来。我们提出了一个可测试的模型，描述LGBT老年人的CMS如何增加过早认知衰老的风险，以及改善因素如何有助于预防CMS风险。迫切需要研究来校准这个模式，以改善LGBT的生活质量和心理健康实践。
Lesbian, gay, bisexual, and transgender (LGBT) older adults comprise a unique and growing subset of the aging population. The historical context in which they came of age was imbued with victimization and discrimination. These experiences are subjectively stressful and collectively known as minority stress. Older LGBT adults continue to face stressors related to their gender and sexual identities in their daily lives. Importantly, chronic minority stress (CMS), like other forms of chronic stress, is harmful to health and well-being. CMS contributes to LGBT health disparities, including cardiovascular disease and depression, conditions that in turn increase risk for premature cognitive decline. Furthermore, long-term exposure to stress hormones is associated with accelerated brain aging. Yet, the cognitive functioning of LGBT elders and the influence of CMS on their cognition is all but unexplored. In this review, we examine the influences of CMS in LGBT elders and connect those influences to existing research on stress and cognitive aging. We propose a testable model describing how CMS in LGBT elders heightens risk for premature cognitive aging and how ameliorating factors may help protect from CMS risk. Research is desperately needed to calibrate this model toward improving LGBT quality of life and mental health practices.
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影响因子：
34.7
作者：
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通讯作者：
Arnsten, Amy F. T.
影响因子：
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作者：
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DOI：
10.1300/j045v15n01_01
发表时间：
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期刊：
Journal of health & social policy
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作者：
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