Table 1.

Description of Measures.

Variables	Items or description
Study outcomes
Quality of life	“How would you rate your quality of life” (1 = very poor to 5 = very good) from the World Health Organization Quality of Life-BREF (WHOQOL-BREF; Bonomi, Patrick, Bushnell, & Martin, 2000; World Health Organization, 2004)
Physical impairment	Mean scores of eight items assessing physical functioning defined as difficulty with lower and upper extremity performance (Fredriksen-Goldsen & Kim, 2017). items include walking a quarter of a mile or standing on your feet for about 2 hours or sitting for about 2 hours: 0 = no difficulty to 4 = extremely difficulty or cannot do; α =.90.
Depression	Summed scores of 10 items of the Center for Epidemiologic Studies Depression Scale (CES-D 10; Andresen, Malmgren, Carter, & Patrick, 1994): 0 = less than one day to 3 = five to seven days; Range = 0 – 30; α =.85
Historical or environmental
Lifetime discrimination and victimization	Summed scores of the frequencies of experiencing five types of discrimination (e.g., employment, housing, health care) and nine types of victimization (e.g., verbal and physical threat, verbal, physical, and sexual assault) during the lifetime as a result of their sexual orientation or gender identity or expression (Fredriksen-Goldsen & Kim, 2017). 0 = never to 3 = three or more times; Range = 0 to 42
Microaggressions	Mean scores of eight items assessing frequency of experiences (Fredriksen-Goldsen & Kim, 2017) of brief and commonplace daily indignities, intentional or unintentional, that communicate hostile and negative attitude or judgment (Sue et al., 2007), including “People say to you that they are tired of hearing about the homosexual or transgender agenda”: 0 = never to 5 = almost every day; α =.85
Psychological
Identity stigma	Mean scores of four items assessing negative attitudes and feelings toward their sexual or gender identity, including feeling ashamed of oneself for one’s sexual or gender identity: 1 = strongly disagree to 6 = strongly agree; α =.83
Identity disclosure	Self-report on their level of visibility with respect to their sexual or gender identity: 1 = never told anyone to 10 = told everyone
Mastery	Mean scores of a 4-item mastery scale (Lachman & Weaver, 1998), including “What happens to me in the future mostly depends on me”: 1 = strongly disagree to 6 = strongly agree; α =.84
Social
Social support	Mean scores of the abbreviated 4-item scale (Gjesfjeld, Greeno, & Kim, 2008) of MOS-Social Support Scale (Sherbourne & Stewart, 1991), assessing the frequencies that differing types of support were available to them (e.g., “Someone to help with daily chores if you were sick”): 0 = never to 4 = very often; α =.86
Social isolation	Mean scores of three items from the UCLA Loneliness scale (Hughes, Waite, Hawkley, & Cacioppo, 2004), including “How often do you feel isolated from others?”: 0 = never to 4 = very often; α =.89
Living alone	A single question asking whether participants currently lived alone: 0 = no, 1 = yes
Behavioral
Substance use	A combined measure of binge drinking (four or more drinks at any drinking occasion for the past 30 days; National Institute of Alcohol Abuse and Alcoholism, 2004), current smoking (at least 100 cigarettes in lifetime and currently smoking; Jamal et al., 2015), or illicit drug use (whether they have used drugs other than those required for medical reasons during the past 12 months; Smith, Schmidt, Allensworth-Davies, & Saitz, 2010). Affirmative response to one or more of the three items was considered substance use.
Physical activity	Moderate or vigorous activities for more than 150 minutes in total per week, as recommended by the Centers for Disease Control and Prevention (2015): 0 = no, 1 = yes
Background characteristics	Age (years; M = 83.85, S.D. = 3.61), sexual identity (gay or lesbian vs. other), gender identity (transgender or gender diverse or non-binary vs. cisgender), gender (women vs. men vs. other), race or ethnicity (non-Hispanic Whites vs. people of color), income (living at or below 200% of federal poverty level (FPL) vs. >200% FPL), education (high school or less vs. some college or college graduate vs. graduate or professional degree), employment (Employed full- or part-time vs. not currently employed)