Stress and Resilience among Sexual and Gender Diverse Caregivers

Res Aging. 2023 Oct-Dec;45(9-10):654-665. doi: 10.1177/01640275231156191. Epub 2023 Feb 11.

Abstract

Little is known about caregiving outcomes of sexual and gender diverse, including LGBT, caregivers. Informed by the Health Equity Promotion Model (HEPM) and Pearlin's Stress Process Model, we utilized data from Aging with Pride: National Health, Aging, and Sexuality/Gender Study (NHAS), to examine perceived stress among a sample of 754 sexual and gender diverse caregivers using regressions on background and caregiving characteristics and risk and protective factors. Among caregivers, 38% were providing care to a spouse or partner and about one-third to a friend (29%). Higher stress was associated with younger age, lower income, higher education, partner/spouse care, personal care provision, longer caregiving hours, and caregiver cognitive impairment. After including the risk and protective factors from HEPM, victimization, social support, and community engagement significantly predicted perceived stress. Findings contribute to emergent research on caregiving in diverse populations.

Keywords: caregiving; lesbian, gay, bisexual, transgender; resilience; sexuality; stress.

MeSH terms

  • Aging / psychology
  • Caregivers* / psychology
  • Gender Identity
  • Humans
  • Sexual and Gender Minorities*
  • Sexuality / psychology