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Correction: Health disparities among lesbian, gay, and bisexual people in the Canadian Longitudinal Study on Aging: A 6-year follow-up.

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Updated: Feb 1, 2026

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Associations Between Cognitive Risk Scores and Objective Cognition by Sexual Orientation: Evidence From the CLSA.

Alexandra Grady1, Arne Stinchcombe1,2

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|January 30, 2026
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Summary

Lesbian, gay, and bisexual older adults showed lower cognitive risk and better cognitive performance than heterosexual adults. This suggests sociodemographic factors are crucial for assessing cognitive health in diverse aging populations.

Keywords:
CLSALGBcognitionsexual orientation

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Area of Science:

  • Gerontology
  • Cognitive Neuroscience
  • Public Health

Background:

  • Cognitive decline is a significant concern in aging populations.
  • Understanding disparities in cognitive risk and performance across diverse groups is essential for targeted interventions.
  • Lesbian, gay, and bisexual (LGB) individuals may face unique social and health challenges that could impact cognitive aging.

Purpose of the Study:

  • To compare cognitive risk and objective cognitive performance between LGB and heterosexual older adults.
  • To identify factors contributing to differences in cognitive health outcomes within these groups.

Main Methods:

  • Utilized baseline data (2011-2015) from the Canadian Longitudinal Study on Aging (CLSA) Comprehensive cohort.
  • Assessed cognitive risk using the Australian National University - Alzheimer's Disease Risk Index (ANU-ADRI).
  • Measured cognitive performance via a composite score from six cognitive tests, employing t-tests, chi-square tests, and linear regression models.

Main Results:

  • LGB participants (n=309) had significantly lower cognitive risk scores compared to heterosexual participants (n=16,207).
  • LGB individuals reported higher depression and smoking rates, and lower social engagement.
  • LGB participants demonstrated significantly higher cognitive performance scores, even after controlling for risk factors, race, and income.

Conclusions:

  • Contrary to expectations, LGB older adults exhibited better cognitive performance and lower overall cognitive risk.
  • Sociodemographic characteristics, including those related to sexual orientation, are critical considerations in cognitive risk assessment and understanding cognitive aging.
  • Further research is needed to explore the mechanisms behind these observed differences and inform inclusive aging health strategies.