Coping and healthcare utilization in LGBTQ older adults: A systematic review.

Journal Article (Systematic Review;Journal Article)


This systematic review was conducted to identify, synthesize, and elucidate the coping mechanisms described by aging lesbian, gay, bisexual, transgender, and queer (LGBTQ) adults (60+) when utilizing healthcare.


A comprehensive literature search was conducted in Embase and Ovid databases to identify studies of aging LGBTQ adults using coping mechanisms during healthcare utilization. Qualitative and quantitative studies published in English between 1969 and 2020 were included and assessed with COREQ, STROBE Statement, and CASP instruments.


Of 227 articles identified, six were included in the review. The final synthesis revealed that coping mechanisms were associated with social support, social network size, provider competency, and disclosure management. Frequency of appointments varied when seeking healthcare, and one study indicated delay in treatment.


This systematic review highlights various coping mechanisms associated with healthcare utilization and supports the need to develop research uniquely focused on aging LGBTQ adults.

Full Text

Duke Authors

Cited Authors

  • Loeb, AJ; Wardell, D; Johnson, CM

Published Date

  • July 2021

Published In

Volume / Issue

  • 42 / 4

Start / End Page

  • 833 - 842

PubMed ID

  • 34090228

Electronic International Standard Serial Number (EISSN)

  • 1528-3984

International Standard Serial Number (ISSN)

  • 0197-4572

Digital Object Identifier (DOI)

  • 10.1016/j.gerinurse.2021.04.016


  • eng