Exploring Disparities in Life Satisfaction among LGBTQ+ Older Adults in different Living Environments: The Case of Slovenia
DOI:
https://doi.org/10.3889/oamjms.2024.11870Keywords:
LGBTQ older adults, life satisfaction, living environment, rural areas, urban areasAbstract
BACKGROUND: Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) older adults are an overlooked minority of the population who face discrimination, stigma, and homo-, bi-, or transphobia. We have not found any research in the European area that examines differences in life satisfaction among LGBTQ+ older adults according to the living environment.
AIM: The aim of the research was to determine differences in life satisfaction according to different living environments (big cities, small cities, and rural areas) among LGBTQ+ older adults.
METHODS: We selected a non-random purposive sample size of 318 units of LGBTQ+ older adults for the quantitative survey. In the first phase, we used exploratory factor analysis. To ascertain the normality of data distribution, the Kolmogorov–Smirnov and Shapiro–Wilk tests were used. To test the hypothesis, we used a one-way analysis of variance (ANOVA) with a post hoc analysis, with which we determined the existence of differences in the perception of life satisfaction according to the living environment.
RESULTS: We find statistically significant differences at p < 0.05, which occur in all items except the item. So far, I have gotten the important things I want in life (p = 0.150). Since there are statistically significant differences between the ratings of satisfaction with life according to the living environment, we confirm the hypothesis. With a post hoc analysis, we determined even more precise differences between the three living environments of the interviewed persons, regarding which we found that life satisfaction increases with the size of the place where they live.
DISCUSSION: As with studies from other countries, we also note that differences exist between rural and urban living environments for LGBTQ+ older adults in Slovenia in terms of life satisfaction. Further research is needed on the factors that account for these disparities among LGBTQ+ older adults.
CONCLUSION: LGBTQ+ older adults in urban settings report higher life satisfaction than those in rural areas, possibly due to factors like community support and acceptance. Further research is needed to understand the needs of LGBTQ+ older adults, especially in countries where they are hidden due to political or religious influences, to ensure optimal conditions for their life satisfaction in old age.
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Wilmoth JR, Bas D, Mukherjee S, Hanif N. World Social Report 2023: Leaving no one Behind in an Ageing World: AND; 2023.
Fredriksen-Goldsen KI, Kim HJ. The science of conducting research with LGBT older adults-an introduction to aging with pride: National health, aging, and sexuality/gender study (NHAS). Gerontologist. 2017;57(Suppl 1):S1-14. https://doi.org/10.1093/geront/gnw212 PMid:28087791 DOI: https://doi.org/10.1093/geront/gnw212
Fredriksen-Goldsen KI. The future of LGBT+ aging: A blueprint for action in services, policies, and research. Generations. 2016;40(2):6-15. PMid:28366980
Bain AL, Podmore JA. Placing LGBTQ+ urban activisms. Urban Stud. 2021;58(7):1305-26. https://doi.org/10.1177/0042098020986048 DOI: https://doi.org/10.1177/0042098020986048
Stevens GA, Nguyen T, Fajardo FJ. LGBT senior health disparities: Information resources to bridge the gap. J Consum Health Internet. 2018;22(2):150-7. https://doi.org/10.1080/15398285.2018.1451143 DOI: https://doi.org/10.1080/15398285.2018.1451143
Emlet CA. Social, economic, and health disparities among LGBT older adults. Generations. 2016;40(2):16-22. PMid:28366981
King M, Semlyen J, Tai SS, Killaspy H, Osborn D, Popelyuk D, et al. A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry. 2008;8(1):70. https://doi.org/10.1186/1471-244X-8-70 PMid:18706118 DOI: https://doi.org/10.1186/1471-244X-8-70
Rupar T, Blažič M. The needs of LGBT persons 50+ in Slovenia. Soc Delo. 2022;61(1):83-97. https://doi.org/10.51741/ sd.2022.61.1.83-97 DOI: https://doi.org/10.51741/sd.2022.61.1.83-97
Hash KM, Morrow DF. Lesbian, gay, bisexual, and transgender persons aging in rural areas. Int J Aging Hum Dev. 2020;90(2):201-8. https://doi.org/10.1177/0091415019836110 PMid:30862175 DOI: https://doi.org/10.1177/0091415019836110
Putney JM, Keary S, Hebert N, Krinsky L, Halmo R. “Fear runs deep:” The anticipated needs of LGBT older adults in long-term care. J Gerontol Soc Work. 2018;61(8):887-907. https://doi.org/10.1080/01634372.2018.1508109 PMid:30102141 DOI: https://doi.org/10.1080/01634372.2018.1508109
De Donder L, Buffel T, Verté D, De Witte N. Fear of Crime among the Elderly: A Social Capital Perspective. Sociology in a Changing World: Challenges and Perspectives. Greece: ATINER; 2009. p. 93-107.
Buffel T, Verté D, De Donder L, De Witte N, Dury S, Vanwing T, et al. Theorising the relationship between older people and their immediate social living environment. Int J Lifelong Educ. 2012;31(1):13-32. https://doi.org/10.1080/02601370.2012.636577 DOI: https://doi.org/10.1080/02601370.2012.636577
Lecompte M, Ducharme J, Beauchamp J, Couture M. Inclusive practices toward LGBT older adults in healthcare and social services: A scoping review of quantitative and qualitative evidence. Clin Gerontol. 2021;44(3):210-21. https://doi.org/10.1080/07317115.2020.1862946 DOI: https://doi.org/10.1080/07317115.2020.1862946
PMid:33357121
Butler SS. LGBT aging in the rural context. Ann Rev Gerontol Geriatr. 2017;37(1):127-42. https://doi. org/10.1891/0198-8794.37.127 DOI: https://doi.org/10.1891/0198-8794.37.127
Kahana E, Bhatta T, Lovegreen LD, Kahana B, Midlarsky E. Altruism, helping, and volunteering: Pathways to well-being in late life. J Aging Health. 2013;25(1):159-87. https://doi.org/10.1177/0898264312469665 PMid:23324536 DOI: https://doi.org/10.1177/0898264312469665
Tatarkiewicz W. Analysis of Happiness. Nijhoff, Den Haag. 1976. https://doi.org/10.1007/978-94-010-1380-2 DOI: https://doi.org/10.1007/978-94-010-1380-2
Veenhoven R. The Study of Life-satisfaction; 1996. Available from: https://hdl.handle.net/1765/16311 [Last accessed on 2023 Dec 20].
Diener E, Wirtz D, Tov W, Kim-Prieto C, Choi DW, Oishi S, et al. New well-being measures: Short scales to assess flourishing and positive and negative feelings. Soc Indic Res. 2010;97(2):143-56. https://doi.org/10.1007/s11205-009-9493-y DOI: https://doi.org/10.1007/s11205-009-9493-y
Bi K, Chen S, Yip PS, Sun P. Domains of life satisfaction and perceived health and incidence of chronic illnesses and hospitalization: Evidence from a large population-based Chinese cohort. BMC Public Health. 2022;22(1):1703. https://doi.org/10.1186/s12889-022-14119-3 DOI: https://doi.org/10.1186/s12889-022-14119-3
PMid:36076190
Lombardo P, Jones W, Wang L, Shen X, Goldner EM. The fundamental association between mental health and life satisfaction: Results from successive waves of a Canadian national survey. BMC Public Health. 2018;18(1):342. https://doi.org/10.1186/s12889-018-5235-x PMid:29530010 DOI: https://doi.org/10.1186/s12889-018-5235-x
Bakkeli NZ. Health, work, and contributing factors on life satisfaction: A study in Norway before and during the COVID-19 pandemic. SSM Popul Health. 2021;14:100804. https://doi.org/10.1016/j.ssmph.2021.100804 PMid:34027009 DOI: https://doi.org/10.1016/j.ssmph.2021.100804
Foundation L. The State of the City for Manchester’s Lesbian, Gay and Bisexual Communities; 2015. Available from: https://s3-eu-west-1.amazonaws.com/lgbt-website-media/files/8e1ae51d-2562-4992-8988-f3e17452a39a/ state%2520of%2520the%2520city.pdf [Last accessed on 2023 Dec 15].
Gray AL, Moore EW. Understanding the relationship between sexual identity, life satisfaction, psychological well-being, and online community use. Modern Psychol Stud. 2018;23(2):4.
Hughes M. Lesbian and gay people’s concerns about ageing and accessing services. Aust Soc Work. 2009;62(2):186-201. https://doi.org/10.1080/03124070902748878 DOI: https://doi.org/10.1080/03124070902748878
Republic of Slovenia Statistical Office. Available from: https:// www.stat.si/statweb/en/field/index/17 [Last accessed on 2023 Dec 2].
Cities and Urban Areas in Slovenia; 2024 Available from: https://www.gov.si/teme/mesta-in-druga-urbana-naselja [Last accessed on 2023 Nov 29].
Krout JA, Hash KM. What is rural? Introduction to aging in rural places. Aging in rural places. In: Programs, Policies, and Professional Practice. Berlin: Springer; 2015. p. 3-22.
Diener ED, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. J Pers Assess. 1985;49(1):71-5. https://doi.org/10.1207/s15327752jpa4901_13 DOI: https://doi.org/10.1207/s15327752jpa4901_13
Brečko BN. Homosexuals: A methodology for researching hidden populations. Soc Sci Discuss. 2005;21(49-50):107-18.
Reio TG Jr., Shuck B. Exploratory factor analysis: Implications for theory, research, and practice. Adv Dev Hum Resour. 2015;17(1):12-25. https://doi.org/10.1177/1523422314559804 DOI: https://doi.org/10.1177/1523422314559804
Leontitsis A, Pagge J. A simulation approach on Cronbach’s alpha statistical significance. Math Comput Simul. 2007;73(5):336-40. https://doi.org/10.1016/j.matcom.2006.08.001 DOI: https://doi.org/10.1016/j.matcom.2006.08.001
Kramer JL. Bachelor farmers and spinsters: Gay and lesbian identities and communities in rural North Dakota. In: Mapping Desire: Geog Sexuality. London: Routledge; 2003. p. 182-94.
Harley DA. LBGT elders in rural settings, small towns, and frontier regions. In: Handbook of LGBT Elders: An Interdisciplinary Approach to Principles, Practices, and Policies. Berlin: Springer; 2016. p. 493-511. https://doi.org/10.1007/978-3-319-03623-6_25 DOI: https://doi.org/10.1007/978-3-319-03623-6_25
Wienke C, Hill GJ. Does place of residence matter? Rural-urban differences and the wellbeing of gay men and lesbians. J Homosex. 2013;60(9):1256-79. https://doi.org/10.1080/00918369.2013.806166 DOI: https://doi.org/10.1080/00918369.2013.806166
Gómez F, Cumsille P, Barrientos J. Mental health and life satisfaction on Chilean gay men and lesbian women: The role of perceived sexual stigma, internalized homophobia, and community connectedness. J Homosex. 2022;69(10):1777-99. https://doi.org/10.1080/00918369.2021.1923278 DOI: https://doi.org/10.1080/00918369.2021.1923278
Szymanski DM, Kashubeck-West S, Meyer J. Internalized heterosexism: Measurement, psychosocial correlates, and research directions. Couns Psychol. 2008;36(4):525-74. https://doi.org/10.1177/0011000007309489 DOI: https://doi.org/10.1177/0011000007309489
Langarita Adiego JA. Sexual and gender diversity in small cities: LGBT experiences in Girona, Spain. Gender Place Cult. 2020;27(9):1348-65. https://doi.org/10.1080/09663 69X.2019.1710473 DOI: https://doi.org/10.1080/0966369X.2019.1710473
Fredriksen-Goldsen KI, Kim HJ, Shiu C, Goldsen J, Emlet CA. Successful aging among LGBT older adults: Physical and mental health-related quality of life by age group. Gerontologist. 2015;55(1):154-68. https://doi.org/10.1093/geront/gnu081 DOI: https://doi.org/10.1093/geront/gnu081
Kim ES, Delaney SW, Tay L, Chen Y, Diener ED, Vanderweele TJ. Life satisfaction and subsequent physical, behavioral, and psychosocial health in older adults. Milbank Q. 2021;99(1):209-39. https://doi.org/10.1111/1468-0009.12497 PMid:33528047 DOI: https://doi.org/10.1111/1468-0009.12497
Doderer YP. LGBTQs in the city, queering urban space. Int J Urban Reg Res. 2011;35(2):431-6. https://doi.org/10.1111/j.1468-2427.2010.01030.x PMid:21542205 DOI: https://doi.org/10.1111/j.1468-2427.2010.01030.x
Nash C, Gorman-Murray A. Lesbians in the city: Mobilities and relational geographies. J Lesbian Stud. 2015;19(2):173-91. https://doi.org/10.1080/10894160.2015.969594 PMid:25760994 DOI: https://doi.org/10.1080/10894160.2015.969594
Nedeljko M. Virtual environment can ease the challenges of LGBTQ+ older adults-literature review. IFAC PapersOnLine. 2022;55(39):147-52. https://doi.org/10.1016/j.ifacol.2022.12.026 DOI: https://doi.org/10.1016/j.ifacol.2022.12.026
Zgonec S. Mobile apps supporting people with dementia and their carers: Literature review and research Agenda. IFAC PapersOnLine. 2021;54(13):663-8. https://doi.org/10.1016/j.ifacol.2021.10.527 DOI: https://doi.org/10.1016/j.ifacol.2021.10.527
Lyons A, Hosking W, Rozbroj T. Rural‐urban differences in mental health, resilience, stigma, and social support among young Australian gay men. J Rural Health. 2015;31(1):89-97. https://doi.org/10.1111/jrh.12089 DOI: https://doi.org/10.1111/jrh.12089
Kauth MR, Barrera TL, Denton FN, Latini DM. Health differences among lesbian, gay, and transgender veterans by rural/small town and suburban/urban setting. LGBT Health. 2017;4(3):194-201. https://doi.org/10.1089/lgbt.2016.0213 PMid:28430020 DOI: https://doi.org/10.1089/lgbt.2016.0213
Fredriksen-Goldsen KI, Cook-Daniels L, Kim HJ, Erosheva EA, Emlet CA, Hoy-Ellis CP, et al. Physical and mental health of transgender older adults: An at-risk and underserved population. Gerontologist. 2014;54(3):488-500. https://doi.org/10.1093/geront/gnt021 PMid:23535500 DOI: https://doi.org/10.1093/geront/gnt021
Pachankis JE, Bränström R. Hidden from happiness: Structural stigma, sexual orientation concealment, and life satisfaction across 28 countries. J Consult Clin Psychol. 2018;86(5):403-15. https://doi.org/10.1037/ccp0000299 PMid:29683698 DOI: https://doi.org/10.1037/ccp0000299
Bartram D. Sexual orientation and life satisfaction. J Sociol. 2023;59(1):20-35. https://doi.org/10.1177/14407833211017672 DOI: https://doi.org/10.1177/14407833211017672
Downloads
Additional Files
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2024 Mihael Nedeljko, Barbara Toplak-Perović, Miran Grah, Boris Miha-Kaučič (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0