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Health disparities among lesbian, gay, and bisexual older adults: Results from a population-based study

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  • Fredriksen-Goldsen, K.I.
  • Kim, H.-J.
  • Barkan, S.E.
  • Muraco, A.
  • Hoy-Ellis, C.P.

Abstract

Objectives. We investigated health disparities among lesbian, gay, and bisexual (LGB) adults aged 50 years and older. Methods. We analyzed data from the 2003-2010 Washington State Behavioral Risk Factor Surveillance System (n = 96 992) on health outcomes, chronic conditions, access to care, behaviors, and screening by gender and sexual orientation with adjusted logistic regressions. Results. LGB older adults had higher risk of disability, poor mental health, smoking, and excessive drinking than did heterosexuals. Lesbians and bisexual women had higher risk of cardiovascular disease and obesity, and gay and bisexual men had higher risk of poor physical health and living alone than did heterosexuals. Lesbians reported a higher rate of excessive drinking than did bisexual women; bisexual men reported a higher rate of diabetes and a lower rate of being tested for HIV than did gay men. Conclusions. Tailored interventions are needed to address the health disparities and unique health needs of LGB older adults. Research across the life course is needed to better understand health disparities by sexual orientation and age, and to assess subgroup differences within these communities.

Suggested Citation

  • Fredriksen-Goldsen, K.I. & Kim, H.-J. & Barkan, S.E. & Muraco, A. & Hoy-Ellis, C.P., 2013. "Health disparities among lesbian, gay, and bisexual older adults: Results from a population-based study," American Journal of Public Health, American Public Health Association, vol. 103(10), pages 1802-1809.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2012.301110_9
    DOI: 10.2105/AJPH.2012.301110
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    Cited by:

    1. Paine, Emily Allen, 2018. "Embodied disruption: “Sorting out” gender and nonconformity in the doctor's office," Social Science & Medicine, Elsevier, vol. 211(C), pages 352-358.
    2. Omer Sagie, 2015. "Predictors of Well-being Among Older Gays and Lesbians," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 120(3), pages 859-870, February.
    3. Anup Srivastav & Alissa O’Halloran & Peng-Jun Lu & Walter W Williams & Sonja S Hutchins, 2019. "Vaccination differences among U.S. adults by their self-identified sexual orientation, National Health Interview Survey, 2013–2015," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-21, March.
    4. Omer Sagie, 2016. "Well-Being in Older Gays and Lesbians: A Comparison of Predictors," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 126(1), pages 395-409, March.
    5. Alexa Solazzo & Bridget Gorman & Justin Denney, 2020. "Does Sexual Orientation Complicate the Relationship Between Marital Status and Gender With Self-rated Health and Cardiovascular Disease?," Demography, Springer;Population Association of America (PAA), vol. 57(2), pages 599-626, April.
    6. Saxby, Karinna & de New, Sonja C. & Petrie, Dennis, 2020. "Structural stigma and sexual orientation disparities in healthcare use: Evidence from Australian Census-linked-administrative data," Social Science & Medicine, Elsevier, vol. 255(C).
    7. Yazbeck M & Xu H & Azocar F & Ettner SL, 2020. "Spousal Peer Effects in Specialty Behavioral Health Services Use: Do Spillovers Vary by Gender, Subscriber Status and Sexual Orientation?," Discussion Papers Series 630, School of Economics, University of Queensland, Australia.
    8. Geva Shenkman & Kfir Ifrah & Dov Shmotkin, 2023. "The Association of Couplehood and Parenthood with the Hedonic and Eudaimonic Well-Being of Older Gay Men," Journal of Happiness Studies, Springer, vol. 24(4), pages 1419-1437, April.
    9. Amie O'Shea & J. R. Latham & Ruth McNair & Nathan Despott & Mellem Rose & Ruby Mountford & Patsie Frawley, 2020. "Experiences of LGBTIQA+ People with Disability in Healthcare and Community Services: Towards Embracing Multiple Identities," IJERPH, MDPI, vol. 17(21), pages 1-14, November.
    10. Stefanie Mollborn & Aubrey Limburg & Bethany G. Everett, 2022. "Mothers’ Sexual Identity and Children’s Health," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(3), pages 1217-1239, June.
    11. Shawna Hopper & Nicole G. Hammond & Arne Stinchcombe, 2022. "Satisfaction with Life in Mid-Age and older Canadians in the CLSA: Examining Personality and Minority Stress," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 17(6), pages 3455-3473, December.
    12. Samiya Batool & David L. Rowland, 2021. "The Critical Role of Coping Strategies in Moderating Loneliness and Quality of Life: Parallel and Unique Processes among Transgender and Heterosexual Cisgender People in Pakistan," IJERPH, MDPI, vol. 18(17), pages 1-16, August.
    13. Neeru Gupta & Samuel R. Cookson, 2023. "Evaluation of Survey Nonresponse in Measuring Cardiometabolic Health Risk Factors and Outcomes among Sexual Minority Populations: A National Data Linkage Analysis," IJERPH, MDPI, vol. 20(7), pages 1-11, March.
    14. Amy Rosenwohl-Mack & Darin Smith & Meredith Greene & Karyn Skultety & Madeline Deutsch & Leslie Dubbin & Jason D. Flatt, 2022. "Building H.O.U.S.E (Healthy Outcomes Using a Supportive Environment): Exploring the Role of Affordable and Inclusive Housing for LGBTQIA+ Older Adults," IJERPH, MDPI, vol. 19(3), pages 1-15, February.
    15. Joseph Daniels & Rob Stephenson & Shelby Langer & Laurel Northouse & Roxana Odouli & Channa Amarasekera & Stephen Vandeneeden & Marvin Langston, 2023. "“Ultimately, You Realize You’re on Your Own”: The Impact of Prostate Cancer on Gay and Bisexual Men Couples," IJERPH, MDPI, vol. 20(10), pages 1-11, May.

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