A Life Course Approach on Older Portuguese Gay and Bisexual People: The Multifactorial Development of Sexual Identity

Research shows that successful development of sexual identity is essential for healthy and well-adjusted ageing. Gay and bisexual (GB) older people have experienced cumulative events throughout their lives that may have affected the development of their identity. In addition, the few previous studies show an alarming lack of community connectedness among older GB people in Portugal. This study assessed the factors that have contributed to the development of sexual identity in Portuguese GB older adults throughout their lives, using an inductive qualitative cross-sectional approach based on Life Course Theory. Twenty-two semi-structured interviews were carried out with older (60+ years) GB people living in the community and using the lifeline technique. The interviews were analyzed using thematic analysis with a codebook approach. Results suggest a multifactorial contribution of factors throughout the life cycle that have affected the development of GB older people's sexual identity. These include historical-cultural factors (e.g., sexual repression and traditionalism of the dictatorship), psychosocial factors (e.g., cumulative sexual stigma), relational factors (e.g., relational clandestinity) and intrapersonal factors (e.g., concealment of sexual orientation). The existence of the Internalized Sexual Minority Disconnectedness phenomenon and its contribution to the formation of the sexual identity of older GB adults were also verified. These results reveal important clues about the development of older GB people in Portugal and the factors that may be affecting the current invisibility of these people in the social and health-related context. Relevant implications for the clinical context are also discussed.