{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:10:23Z","timestamp":1777914623788,"version":"3.51.4"},"reference-count":68,"publisher":"SAGE Publications","issue":"7-8","license":[{"start":{"date-parts":[[2021,3,26]],"date-time":"2021-03-26T00:00:00Z","timestamp":1616716800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Res Aging"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec>\n                    <jats:title>Study Objective:<\/jats:title>\n                    <jats:p>As recent efforts to improve culturally competent clinical care (CCCC) have largely overlooked older LGB adults, we conducted a scoping review of position statements, empirical, and non-empirical research and suggest action steps.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We followed PRISMA Extension for Scoping Reviews Guidelines and searched for articles 1\/1\/11-3\/14\/19 (n = 1210) and other resources (n = 52), deduplicating, dually screening abstracts (n = 1,156), reviewing full-text (n = 107), and conducted a content analysis to identify distinct and cross-cutting domains (n = 44).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Findings:<\/jats:title>\n                    <jats:p>Most research was based on simple pre\/post-training differences in provider knowledge. A majority of sources were non-empirical. We identified three distinct domains (education &amp; staffing, physical environment, and inclusive language &amp; communication) and three cross-cutting domains (subgroup differences, research, and policy).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Conclusions:<\/jats:title>\n                    <jats:p>Sparse empirical data that specify best approaches to improve CCCC exist; nevertheless, providers, in collaboration with researchers and policy makers, can initiate improved practices aimed at increasing CCCC for older LGB patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01640275211004152","type":"journal-article","created":{"date-parts":[[2021,3,26]],"date-time":"2021-03-26T11:29:31Z","timestamp":1616758171000},"page":"274-282","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Culturally Competent Clinical Care for Older Sexual Minority Adults: A Scoping Review of the Literature"],"prefix":"10.1177","volume":"43","author":[{"given":"Sarah","family":"MacCarthy","sequence":"first","affiliation":[{"name":"RAND Corporation, Santa Monica, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Biayna","family":"Darabidian","sequence":"additional","affiliation":[{"name":"RAND Corporation, Santa Monica, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7147-5535","authenticated-orcid":false,"given":"Marc N.","family":"Elliott","sequence":"additional","affiliation":[{"name":"RAND Corporation, Santa Monica, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark A.","family":"Schuster","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl","family":"Burton","sequence":"additional","affiliation":[{"name":"Los Angeles VA GRECC, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra","family":"Saliba","sequence":"additional","affiliation":[{"name":"RAND Corporation, Santa Monica, CA, USA"},{"name":"Los Angeles VA GRECC, Los Angeles, CA, USA"},{"name":"UCLA Borun Center for Gerontological Research, Los Angeles, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,3,26]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"crossref","unstructured":"Adams M. Tax A. D. (2017 December). Assessing and meeting the needs of LGBT older adults via the Older Americans Act. LGBT Health 4(6) 389\u2013393. https:\/\/doi.org\/10.1089\/lgbt.2016.0171","DOI":"10.1089\/lgbt.2016.0171"},{"key":"e_1_3_3_3_1","unstructured":"Agency for Healthcare Research and Quality. (2014). Improving cultural competence to reduce health disparities for priority populations. Agency for Healthcare Research and Quality. Retrieved October 8 from https:\/\/effectivehealthcare.ahrq.gov\/products\/cultural-competence\/research-protocol"},{"key":"e_1_3_3_4_1","doi-asserted-by":"crossref","unstructured":"American Geriatrics Society Ethics Committee. (2015 March). American Geriatrics Society care of lesbian gay bisexual and transgender older adults position statement: American Geriatrics Society Ethics Committee. Journal of the American Geriatrics Society 63(3) 423\u2013426. https:\/\/doi.org\/10.1111\/jgs.13297","DOI":"10.1111\/jgs.13297"},{"key":"e_1_3_3_5_1","unstructured":"Auldridge A. Espinoza R. (2013). Heath equity and LGBT elders of color: Recommendations for policy and practice. https:\/\/www.sageusa.org\/wp-content\/uploads\/2018\/06\/2013-sage-health-equity-and-lgbt-elders-recommendations-for-policy-and-practice-2.pdf"},{"key":"e_1_3_3_6_1","doi-asserted-by":"crossref","unstructured":"Baker N. L. (2016). Lesbian elders: Riding the tsunami of change. Women & Therapy 39(3) 322\u2013336. https:\/\/doi.org\/10.1080\/02703149.2016.1116865","DOI":"10.1080\/02703149.2016.1116865"},{"key":"e_1_3_3_7_1","doi-asserted-by":"crossref","unstructured":"Blosnich J. R. Farmer G. W. Lee J. G. Silenzio V. M. Bowen D. J. (2014 April). Health inequalities among sexual minority adults: evidence from ten U.S. states 2010. American Journal of Preventive Medicine 46(4) 337\u2013349. https:\/\/doi.org\/10.1016\/j.amepre.2013.11.010","DOI":"10.1016\/j.amepre.2013.11.010"},{"key":"e_1_3_3_8_1","doi-asserted-by":"crossref","unstructured":"Blosnich J. R. Hanmer J. Yu L. Matthews D. D. Kavalieratos D. (2016). Health care use health behaviors and medical conditions among individuals in same-sex and opposite-sex partnerships: A cross-sectional observational analysis of the Medical Expenditures Panel Survey (MEPS) 2003-2011. Medical Care 54(6) 547\u2013554. https:\/\/doi.org\/10.1097\/MLR.0000000000000529","DOI":"10.1097\/MLR.0000000000000529"},{"key":"e_1_3_3_9_1","doi-asserted-by":"crossref","unstructured":"Boehmer U. Miao X. Linkletter C. Clark M. A. (2012). Adult health behaviors over the life course by sexual orientation. American Journal of Public Health 102(2) 292\u2013300. https:\/\/doi.org\/10.2105\/AJPH.2011.300334","DOI":"10.2105\/AJPH.2011.300334"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00189-1"},{"key":"e_1_3_3_11_1","doi-asserted-by":"crossref","unstructured":"Caceres B. A. Frank M. O. (2016 September). Successful ageing in lesbian gay and bisexual older people: A concept analysis. International Journal of Older People Nursing 11(3) 184\u2013193. https:\/\/doi.org\/10.1111\/opn.12108","DOI":"10.1111\/opn.12108"},{"key":"e_1_3_3_12_1","doi-asserted-by":"crossref","unstructured":"Cahill S. R. Makadon H. J. (2017 June). If they don\u2019t count us we don\u2019t count: Trump administration rolls back sexual orientation and gender identity data collection. LGBT Health 4(3) 171\u2013173. https:\/\/doi.org\/10.1089\/lgbt.2017.0073","DOI":"10.1089\/lgbt.2017.0073"},{"key":"e_1_3_3_13_1","doi-asserted-by":"crossref","unstructured":"Cannon S. M. Shukla V. Vanderbilt A. A. (2017). Addressing the healthcare needs of older lesbian gay bisexual and transgender patients in medical school curricula: A call to action. Medical Education Online 22(1) 1320933. https:\/\/doi.org\/10.1080\/10872981.2017.1320933","DOI":"10.1080\/10872981.2017.1320933"},{"key":"e_1_3_3_14_1","unstructured":"Cascella L. M. Providing culturally competent care for LGBT Patients. MedPro Group. Retrieved February 23 from https:\/\/www.medpro.com\/LGBT-patient-care"},{"key":"e_1_3_3_15_1","unstructured":"Center for Consumer Engagement in Health Innovation. (2019). Training the aging network to provide culturally competent care for LGBTQ older adults. https:\/\/www.healthinnovation.org\/resources\/publications\/body\/LGBTQ-Elder-Competent-Care_FINAL.pdf"},{"key":"e_1_3_3_16_1","unstructured":"Choi S. K. Meyer I. H. (2016). LGBT aging: A Review of research findings needs and policy implications. https:\/\/williamsinstitute.law.ucla.edu\/wp-content\/uploads\/LGBT-Aging-A-Review.pdf"},{"key":"e_1_3_3_17_1","doi-asserted-by":"crossref","unstructured":"Croghan C. F. Moone R. P. Olson A. M. (2014 January 2). Friends family and caregiving among midlife and older lesbian gay bisexual and transgender adults. Journal of Homosexuality 61(1) 79\u2013102. https:\/\/doi.org\/10.1080\/00918369.2013.835238","DOI":"10.1080\/00918369.2013.835238"},{"key":"e_1_3_3_18_1","doi-asserted-by":"crossref","unstructured":"Croghan C. F. Moone R. P. Olson A. M. (2015). Working with LGBT baby boomers and older adults: Factors that signal a welcoming service environment. Journal of Gerontological Social Work 58(6) 637\u2013651. https:\/\/doi.org\/10.1080\/01634372.2015.1072759","DOI":"10.1080\/01634372.2015.1072759"},{"key":"e_1_3_3_19_1","doi-asserted-by":"crossref","unstructured":"Dentato M. P. Orwat J. Spira M. Walker B. (2014). Examining cohort differences and resilience among the aging LGBT community: Implications for education and practice among an expansively diverse population. Journal of Human Behavior in the Social Environment 24(3) 316\u2013328. https:\/\/doi.org\/10.1080\/10911359.2013.831009","DOI":"10.1080\/10911359.2013.831009"},{"key":"e_1_3_3_20_1","doi-asserted-by":"crossref","unstructured":"Eliason M. J. Radix A. McElroy J. A. Garbers S. Haynes S. G. (2016 July 7). The \u201cSomething Else\u201d of sexual orientation: Measuring sexual identities of older lesbian and bisexual women using National Health Interview Survey questions. Womens Health Issues 26(Suppl 1) S71\u201380. https:\/\/doi.org\/10.1016\/j.whi.2016.03.012","DOI":"10.1016\/j.whi.2016.03.012"},{"key":"e_1_3_3_21_1","unstructured":"Ellis R. Virgile M. Holzberg J. Nelson D. V. Edgar J. Phipps P. Kaplan R. (2017). Assessing the feasibility of asking about sexual orientation and gender identity in the current population survey: Results from cognitive interviews. https:\/\/www.bls.gov\/osmr\/research-papers\/2017\/pdf\/st170210.pdf"},{"key":"e_1_3_3_22_1","unstructured":"Federal Interagency Working Group for Improving Measurement of Sexual Orientation. (2016). Current measures of sexual orientation and gender identity in federal surveys. Retrieved February 24 from https:\/\/dpcpsi.nih.gov\/sites\/default\/files\/WorkingGroupPaper1_CurrentMeasures_08-16_508.pdf"},{"key":"e_1_3_3_23_1","unstructured":"Fitzgerald E. (2013). No golden years at the end of the rainbow: How a lifetime of discrimination compounds economic and health disparities for LGBT older adults. https:\/\/static1.squarespace.com\/static\/566c7f0c2399a3bdabb57553\/t\/566caf4f841abafcc8e7ff22\/1449963343350\/2013-TF-No-Golden-Years.pdf"},{"key":"e_1_3_3_24_1","doi-asserted-by":"crossref","unstructured":"Foglia M. B. Fredriksen-Goldsen K. I. (2014 Sep). Health cisparities among LGBT older adults and the role of nonconscious bias. Hastings Center Report 44(Suppl 4) S40\u201344. https:\/\/doi.org\/10.1002\/hast.369","DOI":"10.1002\/hast.369"},{"key":"e_1_3_3_25_1","doi-asserted-by":"crossref","unstructured":"Fredriksen-Goldsen K. I. Hoy-Ellis C. P. Goldsen J. Emlet C. A. Hooyman N. R. (2014). Creating a vision for the future: Key competencies and strategies for culturally competent practice with lesbian gay bisexual and transgender (LGBT) older adults in the health and human services. Journal of Gerontological Social Work 57(2-4) 80\u2013107. https:\/\/doi.org\/10.1080\/01634372.2014.890690","DOI":"10.1080\/01634372.2014.890690"},{"key":"e_1_3_3_26_1","doi-asserted-by":"crossref","unstructured":"Fredriksen Goldsen K. I. Jen S. Muraco A. (2019 March 1). Iridescent life course: LGBTQ aging research and blueprint for the future\u2014A systematic review. Gerontology 1\u201322. https:\/\/doi.org\/10.1159\/000493559","DOI":"10.1159\/000493559"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0164027514542109"},{"key":"e_1_3_3_28_1","doi-asserted-by":"crossref","unstructured":"Fredriksen-Goldsen K. I. Kim H.-J. Emlet C. A. Muraco A. Erosheva E. A. Hoy-Ellis C. P. Goldsen J. Petry H. (2011). The aging and health report: Disparities and resilience among lesbian gay bisexual and transgender older adults. https:\/\/www.lgbtagingcenter.org\/resources\/pdfs\/LGBT%20Aging%20and%20Health%20Report_final.pdf","DOI":"10.1037\/e561402013-001"},{"key":"e_1_3_3_29_1","doi-asserted-by":"crossref","unstructured":"Fredriksen-Goldsen K. I. Kim H. J. Shui C. Bryan A. E. B. (2017 August). Chronic health conditions and key health indicators among lesbian gay and bisexual older US adults 2013-2014. American Journal of Public Health 107(8) 1332\u20131338. https:\/\/doi.org\/10.2105\/ajph.2017.303922","DOI":"10.2105\/AJPH.2017.303922"},{"key":"e_1_3_3_30_1","unstructured":"Fredriksen-Goldsen K. I. Shiu C. Kim H. J. Emlet C. Goldsen J. (2015). At-risk and underserved: LGBTQ older adults in Seattle\/King County (Aging with Pride Issue). http:\/\/age-pride.org\/wordpress\/wp-content\/uploads\/2015\/10\/Seattle-King-County_Report_FINAL-with-tables.pdf"},{"key":"e_1_3_3_31_1","unstructured":"Gay and Lesbian Medical Association. (2012). Understanding the health needs of LGBT people: An introduction (Quality Healthcare for Lesbian Gay Bisexual & Transgender People A Four-Part Webinar Series Issue). http:\/\/www.glma.org\/_data\/n_0001\/resources\/live\/GLMA%20Cultural%20Competence%20Webinar_Part%201_June%2019%202012.pdf"},{"key":"e_1_3_3_32_1","unstructured":"Gay and Lesbian Medication Association. (2012). Creating a welcoming and safe environment for LGBT people and families (Quality Healthcare for Lesbian Gay Bisexual & Transgender People A Four-Part Webinar Series Issue). http:\/\/www.glma.org\/_data\/n_0001\/resources\/live\/GLMA%20Cultural%20Competence%20Webinar_Part%202_Slides.pdf"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/03601277.2012.701114"},{"key":"e_1_3_3_34_1","doi-asserted-by":"crossref","unstructured":"Gerontological Advanced Practice Nurses Association. (2016 September\u2013October). GAPNA consensus statement on proficiencies for the APRN gerontological specialist: Proficiency statement 6. Geriatric Nursing 37(5) 412\u2013414. https:\/\/doi.org\/10.1016\/j.gerinurse.2016.08.012","DOI":"10.1016\/j.gerinurse.2016.08.012"},{"key":"e_1_3_3_35_1","doi-asserted-by":"crossref","unstructured":"Haas L. B. (1990 May\u2013Jun). The role and importance of position statements. The Diabetes Educator 16(3) 172. https:\/\/doi.org\/10.1177\/014572179001600303","DOI":"10.1177\/014572179001600303"},{"key":"e_1_3_3_36_1","doi-asserted-by":"crossref","unstructured":"Hardacker C. T. Rubinstein B. Hotton A. Houlberg M. (2014 March). Adding silver to the rainbow: The development of the nurses\u2019 health education about LGBT elders (HEALE) cultural competency curriculum. Journal of Nursing Management 22(2) 257\u2013266. https:\/\/doi.org\/10.1111\/jonm.12125","DOI":"10.1111\/jonm.12125"},{"key":"e_1_3_3_37_1","doi-asserted-by":"crossref","unstructured":"Hayman B. Wilkes L. (2016 December). Older lesbian women\u2019s health and healthcare: A narrative review of the literature. Journal of Clinical Nursing 25(23\u201324) 3454\u20133468. https:\/\/doi.org\/10.1111\/jocn.13237","DOI":"10.1111\/jocn.13237"},{"key":"e_1_3_3_38_1","doi-asserted-by":"crossref","unstructured":"Hsieh H. F. Shannon S. E. (2005 November). Three approaches to qualitative content analysis. Quality Health Research 15(9) 1277\u20131288. https:\/\/doi.org\/10.1177\/1049732305276687","DOI":"10.1177\/1049732305276687"},{"key":"e_1_3_3_39_1","volume-title":"The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding","author":"Institute of Medicine (US) Committee on Lesbian Gay Bisexual and Transgender Health Issues and Research Gaps and Opportunities","year":"2011","unstructured":"Institute of Medicine (US) Committee on Lesbian Gay Bisexual and Transgender Health Issues and Research Gaps and Opportunities. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. National Academies Press."},{"key":"e_1_3_3_40_1","doi-asserted-by":"publisher","DOI":"10.1080\/15299716.2015.1046629"},{"key":"e_1_3_3_41_1","unstructured":"The Joint Commission. (2011). Advancing effective communication cultural competence and patient- and family-centered care for the lesbiam gay bisexual and transgender (LGBT) community: A field guide. https:\/\/www.jointcommission.org\/assets\/1\/18\/LGBTFieldGuide_WEB_LINKED_VER.pdf"},{"key":"e_1_3_3_42_1","unstructured":"Joint Committee on Elder Affairs. (2015). Special legislative commission on lesbian gay bisexual and transgender aging. https:\/\/www.lgbtagingcenter.org\/resources\/pdfs\/MA-LGBT-Aging-Commission-Report-2015-FINAL-1.pdf"},{"key":"e_1_3_3_43_1","doi-asserted-by":"crossref","unstructured":"Krinsky L. Cahill S. R. (2017 December). Advancing LGBT elder policy and support services: The Massachusetts Model. LGBT Health 4(6) 394\u2013397. https:\/\/doi.org\/10.1089\/lgbt.2016.0184","DOI":"10.1089\/lgbt.2016.0184"},{"key":"e_1_3_3_44_1","doi-asserted-by":"crossref","unstructured":"Kwong J. Bockting W. Gabler S. Abbruzzese L. D. Simon P. Fialko J. Bonaparte S. Malark A. Towe M. Weber T. Hall P. (2017 December). Development of an interprofessional collaborative practice model for older LGBT adults. LGBT Health 4(6) 442\u2013444. https:\/\/doi.org\/10.1089\/lgbt.2016.0160","DOI":"10.1089\/lgbt.2016.0160"},{"key":"e_1_3_3_45_1","doi-asserted-by":"crossref","unstructured":"Leyva V. L. Breshears E. M. Ringstad R. (2014). Assessing the efficacy of LGBT cultural competency training for aging services providers in California\u2019s central valley. Journal of Gerontological Social Work 57(2\u20134) 335\u2013348. https:\/\/doi.org\/10.1080\/01634372.2013.872215","DOI":"10.1080\/01634372.2013.872215"},{"key":"e_1_3_3_46_1","doi-asserted-by":"crossref","unstructured":"Loewy K. L. (2017). Erasing LGBT people from federal data collection: A need for vigilance. American Journal of Public Health 107(8) 1217\u20131218. https:\/\/doi.org\/10.2105\/AJPH.2017.303914","DOI":"10.2105\/AJPH.2017.303914"},{"key":"e_1_3_3_47_1","unstructured":"MAP and SAGE. (2017). Understanding issues facing LGBT older adults. https:\/\/www.sageusa.org\/wp-content\/uploads\/2018\/05\/sageusa-understanding-issues-facing-lgbt-older-adults.pdf"},{"key":"e_1_3_3_48_1","unstructured":"Margolies L. Joo R. McDavid J. (2004). Best practices in creating and delivering LGBTQ cultural competency trainings for health and social service agencies. https:\/\/cancer-network.org\/wp-content\/uploads\/2017\/02\/best_practices.pdf"},{"key":"e_1_3_3_49_1","unstructured":"McGee-Avila J. (2018). Practicing cultural humility to transform health care. Robert Wood Johnson Foundation. Retrieved June 10 from https:\/\/www.rwjf.org\/en\/blog\/2018\/06\/practicing-cultural-humility-to-transform-healthcare.html"},{"key":"e_1_3_3_50_1","doi-asserted-by":"crossref","unstructured":"Meyer H. Johnston T. R. (2014). The national resource center on LGBT aging provides critical training to aging service providers. Journal of Gerontological Social Work 57(2\u20134) 407\u2013412. https:\/\/doi.org\/10.1080\/01634372.2014.901997","DOI":"10.1080\/01634372.2014.901997"},{"key":"e_1_3_3_51_1","doi-asserted-by":"crossref","unstructured":"Michaels S. Milesi C. Stern M. Viox M. H. Morrison H. Guerino P. Dragon C. N. Haffer S. C. (2017 December). Improving measures of sexual and gender identity in English and Spanish to identify LGBT older adults in surveys. LGBT Health 4(6) 412\u2013418. https:\/\/doi.org\/10.1089\/lgbt.2016.0168","DOI":"10.1089\/lgbt.2016.0168"},{"key":"e_1_3_3_52_1","doi-asserted-by":"crossref","unstructured":"Morabia A. (2017). AJPH dossier on the erasure of the sexual orientation question From the National Survey of Older Americans Act participants. American Journal of Public Health 107(8) 1203\u20131204. https:\/\/doi.org\/10.2105\/AJPH.2017.303926","DOI":"10.2105\/AJPH.2017.303926"},{"key":"e_1_3_3_53_1","unstructured":"National Resource Center on LGBT Aging. (2012). Inclusive services for LGBT older adults: A practical guide to creating welcoming agencies. https:\/\/www.sageusa.org\/wp-content\/uploads\/2018\/05\/sageusa-welcoming-agency-guide-inclusive-services-for-lgbt-older-adults.pdf"},{"key":"e_1_3_3_54_1","unstructured":"National Resource Center on LGBT Aging. (2017). Age-friendly inclusive services: A practical guide to creating welcoming LGBT organizations. https:\/\/www.sageusa.org\/wp-content\/uploads\/2018\/05\/sageusa-age-friendly-inclusive-services-guide-for-lgbt-organizations.pdf"},{"key":"e_1_3_3_55_1","unstructured":"National Resource Center on LGBT Aging. (2018). Role play: Asking questions about sexual orientation and gender identity. https:\/\/www.lgbtagingcenter.org\/resources\/pdfs\/LGBT%20Affirming%20Intake.pdf"},{"key":"e_1_3_3_56_1","doi-asserted-by":"crossref","unstructured":"Nowakowski A. C. H. Chan A. Y. Miller J. F. Sumerau J. E. (2019 January\u2013December). Illness management in older lesbian gay bisexual and transgender couples: A review. Gerontology and Geriatric Medicine 5 2333721418822865. https:\/\/doi.org\/10.1177\/2333721418822865","DOI":"10.1177\/2333721418822865"},{"key":"e_1_3_3_57_1","doi-asserted-by":"crossref","unstructured":"Porter K. E. Krinsky L. (2014). Do LGBT aging trainings effectuate positive change in mainstream elder service providers? Journal of Homosexuality 61(1) 197\u2013216. https:\/\/doi.org\/10.1080\/00918369.2013.835618","DOI":"10.1080\/00918369.2013.835618"},{"key":"e_1_3_3_58_1","doi-asserted-by":"crossref","unstructured":"Prasad S. J. Nair P. Gadhvi K. Barai I. Danish H. S. Philip A. B. (2016). Cultural humility: treating the patient not the illness. Medical Education Online 21 30908\u201330908. https:\/\/doi.org\/10.3402\/meo.v21.30908","DOI":"10.3402\/meo.v21.30908"},{"key":"e_1_3_3_59_1","doi-asserted-by":"crossref","unstructured":"Progovac A. M. Cook B. L. Mullin B. O. McDowell A. Sanchez R. M. J. Wang Y. Creedon T. B. Schuster M. A. (2018 March 1). Identifying gender minority patients\u2019 health And health care needs In administrative claims data. Health Affairs 37(3) 413\u2013420. https:\/\/doi.org\/10.1377\/hlthaff.2017.1295","DOI":"10.1377\/hlthaff.2017.1295"},{"key":"e_1_3_3_60_1","doi-asserted-by":"crossref","unstructured":"Rogers A. Rebbe R. Gardella C. Worlein M. Chamberlin M. (2013). Older LGBT adult training panels: An opportunity to educate about issues faced by the older LGBT community. Journal of Gerontological Social Work 56(7) 580\u2013595. https:\/\/doi.org\/10.1080\/01634372.2013.811710","DOI":"10.1080\/01634372.2013.811710"},{"key":"e_1_3_3_61_1","doi-asserted-by":"publisher","DOI":"10.1080\/10911359.2015.1083504"},{"key":"e_1_3_3_62_1","unstructured":"SAGE Care. (2018). LGBT affirming intake: Sample questions. https:\/\/www.lgbtagingcenter.org\/resources\/pdfs\/LGBT%20Affirming%20Intake.pdf"},{"key":"e_1_3_3_63_1","unstructured":"Simone-Skidmore M. (2013). LGBT aging: Addressing disparities and health care needs. https:\/\/www.lgbthealtheducation.org\/wp-content\/uploads\/LGBT-Aging-Addressing-Disparities-and-Health-Care-Needs.pdf"},{"key":"e_1_3_3_64_1","doi-asserted-by":"crossref","unstructured":"Steelman R. E. (2018 February 1). Person-centered care for LGBT older adults. Journal of Gerontological Nursing 44(2) 3\u20135. https:\/\/doi.org\/10.3928\/00989134-20180110-01","DOI":"10.3928\/00989134-20180110-01"},{"key":"e_1_3_3_65_1","doi-asserted-by":"crossref","unstructured":"Tricco A. C. Lillie E. Zarin W. O\u2019Brien K. K. Colquhoun H. Levac D. Moher D. Peters M. D. J. Horsley T. Weeks L. Hempel S. Akl E. A. Chang C. McGowan J. Stewart L. Hartling L. Aldcroft A. Wilson M. G. Garritty C. Lewin S. Godfrey C. M. Macdonald M. T. Langlois E. V. Soares-Weiser K. Moriarty J. Clifford T. Tun\u00e7alp \u00d6. Straus S. E. (2018 October 2). PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation. Annals of Internal Medicine 169(7) 467\u2013473. https:\/\/doi.org\/10.7326\/m18-0850","DOI":"10.7326\/M18-0850"},{"key":"e_1_3_3_66_1","unstructured":"U.S. Department of Health and Human Services Office of Minority Health. (2018). The National CLAS standards. Retrieved October 8 from https:\/\/minorityhealth.hhs.gov\/omh\/browse.aspx?lvl=2&lvlid=53"},{"key":"e_1_3_3_67_1","doi-asserted-by":"crossref","unstructured":"Wardecker B. M. Johnston T. R. (2018). Seeing and supporting LGBT older adults\u2019 caregivers and families. Journal of Gerontological Nursing 44(11) 2\u20134. https:\/\/doi.org\/10.3928\/00989134-20181010-01","DOI":"10.3928\/00989134-20181010-01"},{"key":"e_1_3_3_68_1","unstructured":"The Williams Institute. (2009). Best practices for asking questions about sexual orientation on surveys. https:\/\/williamsinstitute.law.ucla.edu\/wp-content\/uploads\/SMART-FINAL-Nov-2009.pdf"},{"key":"e_1_3_3_69_1","doi-asserted-by":"crossref","unstructured":"Yeager K. A. Bauer-Wu S. (2013). Cultural humility: Essential foundation for clinical researchers. Applied Nursing Research: ANR 26(4) 251\u2013256. https:\/\/doi.org\/10.1016\/j.apnr.2013.06.008","DOI":"10.1016\/j.apnr.2013.06.008"}],"container-title":["Research on Aging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01640275211004152","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01640275211004152","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01640275211004152","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T16:57:12Z","timestamp":1777654632000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01640275211004152"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,26]]},"references-count":68,"journal-issue":{"issue":"7-8","published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1177\/01640275211004152"],"URL":"https:\/\/doi.org\/10.1177\/01640275211004152","relation":{},"ISSN":["0164-0275","1552-7573"],"issn-type":[{"value":"0164-0275","type":"print"},{"value":"1552-7573","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,26]]}}}