Functional Limitations and Access to Long-Term Services and Supports Among Sexual Minority Older Adults.

<b>Objective:</b> Little is known about sexual minority (SM) older adults' activities of daily living (ADL) and instrumental activities of daily living (IADL) limitations and their subsequent access to long-term services and supports (LTSS). <b>Methods:</b> We analyzed cross-sectional data from the 2016 Health and Retirement Study limited to individuals ≥50 years old. Bivariate analyses were performed to examine 1) sexual identity differences in the prevalence of ADL/IADL limitations and 2) associations of sexual identity with having ADL/IADL limitations and having access to help with ADL/IADL limitations. <b>Results:</b> Our sample consisted of 3833 older adults, 6% (<i>n</i> = 213) were SM. Compared to heterosexual participants, bisexual older adults had greater reports of ADL/IADL limitations (20.9% vs. 35.9%, <i>p</i> = 0.013). Among those who reported having ADL/IADL limitations (<i>n</i> = 803), there were no sexual identity differences in accessing help for ADL/IADL limitations (<i>p</i> = .901). <b>Discussion:</b> Our findings contribute to the limited research on LTSS access among SM older adults.