Jason Flatt, PhD, MPH
Associate Professor
Institute for Health & Aging
School of Nursing

Jason is a faculty member with the UCSF Healthforce and affiliated with the UCSF Center for Aging in Diverse Communities, UCSF Pepper Center, PRL-IHPS Evaluation Community of Practice, and UCSF Health Workforce Research Center on Long-Term Care. The focus of Jason’s research has been on aging health disparities and neurodegenerative diseases, such as Alzheimer’s and Parkinson’s disease, including risk, prevention, care practices and workforce.

Jason’s current research brings these research areas together to examine risk and protective factors for Alzheimer’s disease and related dementias (ADRD) and Parkinson’s disease among older sexual and gender minorities or people who identify as lesbian, gay, bisexual, transgender, queer, intersex, asexual and additional identities (LGBTQIA+). His efforts also aim to improve screenings and treatments, research engagement, and better targeting of culturally-relevant and inclusive interventions to prevent and reduce the burden of Alzheimer’s and Parkinson’s disease in LGBTQIA+ populations.

For the past 15 years, Jason has used his platform as a public health researcher to work as an advocate for the LGBTQIA+ community. To further the reach of his advocacy efforts, he partners with InterACT Advocates for Intersex Youth, Openhouse, and serves on The San Francisco Long Term Care Coordinating Council for Dementia Care Excellence Workgroup. He is also currently a a member and former convener for the Gerontological Society of America’s Rainbow Research Group. He is also working with Openhouse in San Francisco, on the Building Healthy Outcomes Using a Supportive Environment (H.O.U.S.E.) Study, to examine the influence of affordable- and inclusive-housing on the health of LGBTQI older adults. He is partnering with Openhouse and On Lok to explore opportunities for inclusive care and the first adult day social program for LGBTQIA+ seniors. His work has been featured in the San Francisco Chronicle, U.S. News and World Report, The Advocate, Logo NewsNowNext, AARP News, San Francisco Bay Times, KCBS Radio, HealthCare Asia Dailey, Affaritaliani, as well as at the Alzheimer's Association International Conference.

Jason’s hope is that his current research and advocacy efforts will shape the training of care providers and create a more inclusive healthcare and environment for LGBTQIA+ individuals.

• Use of Digital Health Resources by Sexual and Gender Minority Caregivers of Older Adults: Findings From the 2020 Caregiving in the U.S. Survey.
  Journal of family nursing 2023 Anderson JG, Jabson Tree JM, Flatt JD, Smith JL, Morgan KH, Beebe LH, Rose KM
• Scoping Literature Review: Experiences of Sexual and Gender Minority Older Adults, With Diagnoses of Dementia, Who Use Residential Long-Term Services and Supports.
  Journal of applied gerontology : the official journal of the Southern Gerontological Society 2023 Shippee T, Rosser BRS, Wright MM, Aumock C, Moone R, Talley KMC, Duran P, Henning-Smith C, Cahill S, Flatt JD, Slaughter-Acey J, Greenwald S, McCarthy T, Ross MW
• Medical Mistrust Mediates the Relationship Between Nonconsensual Intersex Surgery and Healthcare Avoidance Among Intersex Adults.
  Annals of behavioral medicine : a publication of the Society of Behavioral Medicine 2023 Wang JC, Dalke KB, Nachnani R, Baratz AB, Flatt JD
• Cognitive Impairment in Sexual and Gender Minority Groups: A Scoping Review of the Literature.
  LGBT health 2023 Romanelli RJ, Rosenblatt AS, Marcum ZA, Flatt JD
• A Focus on Aging, HIV/AIDS, and Neurocognitive Challenges: Examining Southern Nevada HIV Sector Providers' Awareness and Prospective Roles.
  International journal of environmental research and public health 2023 Ranuschio B, Bell S, Flatt JD, Barnes L, Puno T, Ribeiro A, Sheik-Yosef N, Villalobos E, Wackens J, Liboro RM
• Perceived Discrimination in Health Care for LGBTQIA+ People Living With Parkinson's Disease.
  The journals of gerontology. Series B, Psychological sciences and social sciences 2023 Bayram E, Weigand AJ, Flatt JD
• "Going Back in the Closet": Addressing Discrimination Against Sexual and Gender Minority Residents in Long-Term Services and Supports by Providing Culturally Responsive Care.
  Journal of aging & social policy 2023 Rosser BRS, Shippee T, Wright MM, Aumock C, Moone R, Talley KMC, Duran P, Henning-Smith C, Cahill S, Flatt JD, Slaughter-Acey J, Greenwald S, McCarthy T, Ross MW
• Transgender Adults From Minoritized Ethnoracial Groups in the U.S. Report Greater Subjective Cognitive Decline.
  The journals of gerontology. Series B, Psychological sciences and social sciences 2023 Cicero EC, Lett E, Flatt JD, Benson GP, Epps F
• Global rural health disparities in Alzheimer's disease and related dementias: State of the science.
  Alzheimer's & dementia : the journal of the Alzheimer's Association 2023 Wiese LAK, Gibson A, Guest MA, Nelson AR, Weaver R, Gupta A, Carmichael O, Lewis JP, Lindauer A, Loi S, Peterson R, Radford K, Rhodus EK, Wong CG, Zuelsdorff M, Saidi LG, Valdivieso-Mora E, Franzen S,…
• Discordance in chromosomal and self-reported sex in the UK Biobank: Implications for transgender- and intersex-inclusive data collection.
  Proceedings of the National Academy of Sciences of the United States of America 2023 Ackley SF, Zimmerman SC, Flatt JD, Riley AR, Sevelius J, Duchowny KA
• The structural and social determinants of Alzheimer's disease related dementias.
  Alzheimer's & dementia : the journal of the Alzheimer's Association 2023 Adkins-Jackson PB, George KM, Besser LM, Hyun J, Lamar M, Hill-Jarrett TG, Bubu OM, Flatt JD, Heyn PC, Cicero EC, Zarina Kraal A, Pushpalata Zanwar P, Peterson R, Kim B, Turner RW, Viswanathan J, …
• A systematic review of measures of gender and biological sex: Exploring candidates for Alzheimer's disease and related dementias (AD/ADRD) research.
  Alzheimer's & dementia (Amsterdam, Netherlands) 2023 Stites SD, Cao H, James R, Harkins K, Coykendall C, Flatt JD
• Alzheimer's Disease Services, Staffing, and Outcomes in Adult Day Health Centers.
  Journal of the American Medical Directors Association 2023 Spetz J, Flatt JD
• Cognitive Aging with Dementia, Mild Cognitive Impairment, or No Impairment: A Comparison of Same- and Mixed-Sex Couples.
  Journal of Alzheimer's disease : JAD 2023 Correro Ii AN, Gauthreaux K, Perales-Puchalt J, Chen YC, Chan KCG, Kukull WA, Flatt JD
• Inclusive Care Practices and Policies Among Sexual and Gender Minority Older Adults.
  Journal of gerontological nursing 2022 Anderson JG, Flatt JD, Cicero EC, Kittle K, Myers CR, Rose KM, Wharton W
• Feasibility of the Savvy Caregiver Program for LGBTQ+ Caregivers of People Living with Alzheimer's Disease and Related Dementias.
  International journal of environmental research and public health 2022 Kittle KR, Lee R, Pollock K, Song Y, Wharton W, Anderson JG, Dowling NM, Flatt JD
• Moderating Effect of Community and Individual Resilience on Structural Stigma and Suicidal Ideation among Sexual and Gender Minority Adults in the United States.
  International journal of environmental research and public health 2022 Pharr JR, Chien LC, Gakh M, Flatt JD, Kittle K, Terry E
• Divergent patterns of cognitive deficits and structural brain alterations between older adults in mixed-sex and same-sex relationships.
  Frontiers in human neuroscience 2022 Manca R, Correro AN, Gauthreaux K, Flatt JD
• Serial Mediation Analysis of the Association of Familiarity with Transgender Sports Bans and Suicidality among Sexual and Gender Minority Adults in the United States.
  International journal of environmental research and public health 2022 Pharr JR, Chien LC, Gakh M, Flatt J, Kittle K, Terry E
• Subjective Cognitive Decline Associated with Discrimination in Medical Settings among Transgender and Nonbinary Older Adults.
  International journal of environmental research and public health 2022 Lambrou NH, Gleason CE, Obedin-Maliver J, Lunn MR, Flentje A, Lubensky ME, Flatt JD
• Measuring Sex and Gender in Aging and Alzheimer's Research: Results of a National Survey.
  The journals of gerontology. Series B, Psychological sciences and social sciences 2022 Stites SD, Cao H, Harkins K, Flatt JD
• Functional Limitations and Access to Long-Term Services and Supports Among Sexual Minority Older Adults.
  Journal of applied gerontology : the official journal of the Southern Gerontological Society 2022 Travers JL, Shippee TP, Flatt JD, Caceres BA
• Consideration of sex and gender in Alzheimer's disease and related disorders from a global perspective.
  Alzheimer's & dementia : the journal of the Alzheimer's Association 2022 Mielke MM, Aggarwal NT, Vila-Castelar C, Agarwal P, Arenaza-Urquijo EM, Brett B, Brugulat-Serrat A, DuBose LE, Eikelboom WS, Flatt J, Foldi NS, Franzen S, Gilsanz P, Li W, McManus AJ, van Lent DM, …
• Advancing Gerontological Health Research With Sexual and Gender Minorities Across the Globe.
  Journal of gerontological nursing 2022 Flatt JD, Cicero EC, Kittle KR, Brennan-Ing M, Anderson JG, Wharton W, Hughes TL
• A Comparative Analysis of Family Quality of Life Between Heterosexual and Sexual Minority Caregivers of People with Dementia.
  Journal of applied gerontology : the official journal of the Southern Gerontological Society 2022 Anderson JG, Jabson Tree JM, Flatt JD, Gross AL, Williams IC, Rose KM
• Building H.O.U.S.E (Healthy Outcomes Using a Supportive Environment): Exploring the Role of Affordable and Inclusive Housing for LGBTQIA+ Older Adults.
  International journal of environmental research and public health 2022 Rosenwohl-Mack A, Smith D, Greene M, Skultety K, Deutsch M, Dubbin L, Flatt JD
• Recommendations for Advancing Research With Sexual and Gender Minority Older Adults.
  The journals of gerontology. Series B, Psychological sciences and social sciences 2022 Flatt JD, Cicero EC, Kittle KR, Brennan-Ing M
• Creating a Minority Stress Index to Examine Mental Health Impacts of Discrimination Among Transgender and Gender Nonbinary Adults.
  LGBT health 2021 Kachen A, Pharr JR, Chien LC, Flatt JD
• Subjective cognitive decline higher among sexual and gender minorities in the United States, 2015-2018.
  Alzheimer's & dementia (New York, N. Y.) 2021 Flatt JD, Cicero EC, Lambrou NH, Wharton W, Anderson JG, Bouldin ED, McGuire LC, Taylor CA
• Testing the Multi-Theory Model (MTM) to Predict the Use of New Technology for Social Connectedness in the COVID-19 Pandemic.
  Healthcare (Basel, Switzerland) 2021 Sharma M, Batra K, Flatt J
• Greater Social Engagement and Greater Gray Matter Microstructural Integrity in Brain Regions Relevant to Dementia.
  The journals of gerontology. Series B, Psychological sciences and social sciences 2021 Felix C, Rosano C, Zhu X, Flatt JD, Rosso AL
• Sexual and Gender Minority Health in Neurology: A Scoping Review.
  JAMA neurology 2021 Rosendale N, Wong JO, Flatt JD, Whitaker E
• Characteristics of Sexual and Gender Minority Caregivers of People With Dementia.
  Journal of aging and health 2021 Anderson JG, Flatt JD, Jabson Tree JM, Gross AL, Rose KM
• Exercise as a Mitigator of Poor Mental Health Among Lesbian, Gay, and Bisexual Adults.
  Journal of physical activity & health 2021 Pharr JR, Flatt JD, Chien LC, Kachen A, Olakunde BO
• Predictors of Mind-Body Therapy Use Among Sexual Minority Older Adults.
  Journal of alternative and complementary medicine (New York, N.Y.) 2021 Anderson JG, Bartmess M, Jabson Tree JM, Flatt JD
• A national study on the physical and mental health of intersex adults in the U.S.
  PloS one 2020 Rosenwohl-Mack A, Tamar-Mattis S, Baratz AB, Dalke KB, Ittelson A, Zieselman K, Flatt JD
• Learning from Transmasculine Experiences with Health Care: Tangible Inlets for Reducing Health Disparities Through Patient-Provider Relationships.
  Transgender health 2020 Lambrou NH, Cochran KM, Everhart S, Flatt JD, Zuelsdorff M, O'Hara JB, Weinhardt L, Flowers Benton S, Gleason CE
• A Community Choir Intervention to Promote Well-Being Among Diverse Older Adults: Results From the Community of Voices Trial.
  The journals of gerontology. Series B, Psychological sciences and social sciences 2020 Johnson JK, Stewart AL, Acree M, Nápoles AM, Flatt JD, Max WB, Gregorich SE
• Addressing Life Course Trauma and Cardiometabolic Risk in Sexual Minority Women.
  Journal of women's health (2002) 2019 Flatt JD
• Risk of dementia and mild cognitive impairment among older adults in same-sex relationships.
  International journal of geriatric psychiatry 2019 Perales-Puchalt J, Gauthreaux K, Flatt J, Teylan MA, Resendez J, Kukull WA, Chan KCG, Burns J, Vidoni ED
• Early Midlife Pulmonary Function and Dementia Risk.
  Alzheimer disease and associated disorders 2018 Gilsanz P, Mayeda ER, Flatt J, Glymour MM, Quesenberry CP, Whitmer RA
• Dementia-Capable Care Coordination in Duals Demonstration Programs: Workforce Needs, Promising Practices, and Policy.
  The Gerontologist 2018 Hollister B, Flatt JD, Chapman SA
• Characteristics of LGBT caregivers of older adults: Results from the National Caregiving in the U.S. 2015 Survey
  Journal of Gay & Lesbian Social Services 2018 Anderson JG, Flatt JD
• Correlates of Subjective Cognitive Decline in Lesbian, Gay, Bisexual, and Transgender Older Adults.
  Journal of Alzheimer's disease : JAD 2018 Flatt JD, Johnson JK, Karpiak SE, Seidel L, Larson B, Brennan-Ing M
• Recruitment and baseline characteristics of the Community of Voices choir study to promote the health and well-being of diverse older adults.
  Contemporary clinical trials communications 2017 Johnson JK, Gregorich SE, Acree M, Nápoles AM, Flatt JD, Pounds D, Pabst A, Stewart AL
• Post-traumatic stress disorder and risk of dementia among members of a health care delivery system.
  Alzheimer's & dementia : the journal of the Alzheimer's Association 2017 Flatt JD, Gilsanz P, Quesenberry CP, Albers KB, Whitmer RA
• Post-traumatic stress disorder symptoms and associated health and social vulnerabilities in older jail inmates.
  Aging & mental health 2016 Flatt JD, Williams BA, Barnes D, Goldenson J, Ahalt C
• Neighborhood Socioeconomic Status and Cognitive Function in Late Life.
  American journal of epidemiology 2016 Rosso AL, Flatt JD, Carlson MC, Lovasi GS, Rosano C, Brown AF, Matthews KA, Gianaros PJ
• Social Network Size and Cranial Magnetic Resonance Imaging Findings in Older Adults: The Cardiovascular Health Study.
  Journal of the American Geriatrics Society 2015 Flatt JD, Rosso AL, Aizenstein HJ, Schulz R, Longstreth WT, Newman AB, Fowler NR, Rosano C
• Perspectives on expedited partner therapy for chlamydia: a survey of health care providers.
  International journal of STD & AIDS 2015 Rosenfeld EA, Marx J, Terry MA, Stall R, Flatt J, Borrero S, Miller E
• A Qualitative Study on the Types and Purposes of Social Activities in Late Life.
  Activities, adaptation & aging 2015 Flatt JD, Hughes TF, Documét PI, Lingler JH, Trauth JM, Albert SM
• Assessing the quality of a non-randomized pragmatic trial for primary prevention of falls among older adults.
  Prevention science : the official journal of the Society for Prevention Research 2015 Albert SM, Edelstein O, King J, Flatt J, Lin CJ, Boudreau R, Newman AB
• The association of social support and education with breast and cervical cancer screening.
  Health education & behavior : the official publication of the Society for Public Health Education 2014 Documet P, Bear TM, Flatt JD, Macia L, Trauth J, Ricci EM
• Using the memory impairment screen over the telephone to determine fall risk in community-dwelling older adults.
  Journal of the American Geriatrics Society 2014 Flatt JD, Swailes A, King J, Prasad T, Boudreau RM, Albert SM
• Subjective experiences of an art museum engagement activity for persons with early-stage Alzheimer's disease and their family caregivers.
  American journal of Alzheimer's disease and other dementias 2014 Flatt JD, Liptak A, Oakley MA, Gogan J, Varner T, Lingler JH
• Interactive video gaming compared with health education in older adults with mild cognitive impairment: a feasibility study.
  International journal of geriatric psychiatry 2014 Hughes TF, Flatt JD, Fu B, Butters MA, Chang CC, Ganguli M
• Humor and laughter in persons with cognitive impairment and their caregivers.
  Journal of holistic nursing : official journal of the American Holistic Nurses' Association 2013 Liptak A, Tate J, Flatt J, Oakley MA, Lingler J
• Participation in social activities in later life: Does enjoyment have important implications for cognitive health?
  Aging Health 2013 Flatt JD, Hughes TF
• Correlates of self-reported depressive symptoms: a study of older persons of Punjab, Pakistan.
  Journal of cross-cultural gerontology 2013 Maqsood F, Flatt JD, Albert SM, Maqsood S, Nizamuddin M
• Engagement in social activities and progression from mild to severe cognitive impairment: the MYHAT study.
  International psychogeriatrics 2012 Hughes TF, Flatt JD, Fu B, Chang CC, Ganguli M
• Homophily and health behavior in social networks of older adults.
  Family & community health 2012 Flatt JD, Agimi Y, Albert SM
• Breast cancer survivors' perception of survivorship.
  Oncology nursing forum 2012 Documet PI, Trauth JM, Key M, Flatt J, Jernigan J
• Role of branched chain amino acids (BCAA) intake in preventing muscle proteolysis.
  Surgical forum 1976 Benotti PN, Blackburn GL, Miller JD, Bistrian BR, Flatt J, Trerice M