This article introduces the multidimensional properties of social connectedness among sexual and gender minority (SGM) midlife and older adults and examines the relationship between these properties and general health. Data were analyzed from Aging With Pride: National, Aging, and Sexuality/Gender Study, including 2,450 SGM adults aged 50 and older in the United States. The structure, function, and quality of interpersonal relations as well as community-level activities and engagement were measured through a self-administered survey and an in-person interview. Findings indicated that SGM midlife and older adults, on average, had a large social network with high bridging potential and low density, consisting of more nonrelative family members than immediate family members. They also showed frequent availability of social support, moderate or higher satisfaction with interpersonal relations, and moderate SGM community engagement. Properties of social connectedness differed by gender, sexual identity, and gender identity, with SGM men, sexually diverse women, and transgender people showing distinct challenges in interpersonal relations. All aspects of social connectedness were positively associated with good general health, particularly network diversity, outdoor leisure activity engagement, and access to health-related decision support, controlling for age and chronic conditions. Care receiving and loneliness were negatively associated with good general health. Intervention development can target these factors to promote social and community connectivity and reduce the negative health effects of persistent social stressors. This study underscores the necessity of addressing all facets (i.e., structure, function, and quality) of interpersonal relations encompassing both immediate and chosen family as well as community-level social connectedness.
Public Policy Relevance StatementLimited knowledge exists regarding the multidimensional aspects of social connectedness of sexual and gender minority older adults. This study delineates the distinct nature of their interpersonal relationships and community engagement and identifies social connectedness factors that can contribute to health equity. By addressing these factors, culturally tailored programs and policies could foster resilience and mitigate the negative health consequences of ongoing social stressors.
Social connectedness has been identified as a vital resource that has far-reaching effects on physical (Holt-Lunstad, 2018) and mental health (Webster et al., 2022) and wellbeing (Pinquart & Sörensen, 2000) throughout the life course, leading to optimal aging (Bosnes et al., 2019). Older adults who foster and maintain social support and resources are better equipped to handle stressful life events such as bereavement and retirement, disabling chronic conditions, limited functionality, and decline in This document is copyrighted by the American Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the indi...