Health disparities among lesbian, gay, and bisexual older adults: Results from a population-based study
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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.
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High rates of depression have been found among LGBTQ adults and older adults.
“High rates of depression have been found among LGBTQ adults and older adults [60,61,62,63,64,65].”
From Findings from a feasibility study of an adapted cognitive behavioral therapy group intervention to reduce depression among lgbtq (Lesbian, gay, bisexual, transgender, or queer) young people (2019) · cites this paper as [63]
The Results (Health Outcomes; page not provided) report higher odds of poor mental health among lesbian, gay, and bisexual older adults than among heterosexual peers. The Methods (Measures; page not provided) define that outcome as 14 or more days of poor mental health in the past 30 days, not depression. The study also does not establish the claim for transgender or queer adults, or for older adults generally. (LLM, conf=0.86)
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- Authors
- Fredriksen-Goldsen, K. I., Kim, H.-J., Barkan, S. E., Muraco, A., & Hoy-Ellis, C. P.
- Affiliations
- Karen I. Fredriksen-Goldsen, Hyun-Jun Kim, Susan E. Barkan, and Charles P. Hoy-Ellis are with the School of Social Work, University of Washington, Seattle. Anna Muraco is with the Department of Sociology, Loyola Marymount University, Los Angeles.
- University of Washington (US)
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 2013-10
- Volume
- 103
- Issue
- 10
- Pages
- 1802-1809
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- PMC
- PMC3770805
- OpenAlex
- W2101756621
- Cited by
- 965
- References
- 65
- Citations by year
- 2026: 43 · 2025: 61 · 2024: 79 · 2023: 104 · 2022: 88 · 2021: 100 · 2020: 77 · 2019: 80 · 2018: 72 · 2017: 80 · 2016: 91 · 2015: 49 · 2014: 37 · 2013: 3 · 2012: 1
- FWCI
- 90.06
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- Funders
- University of Washington
- National Institutes of Health
- U.S. Public Health Service (U58/CCU022819-3, U58/CCU002118-17, U58-CCU022819-5, U58/CCU022819-4, U58/CCU022819-2, U58/CCU022819-1)
- National Institute on Aging (R01AG026526)
- National Center for Chronic Disease Prevention and Health Promotion (U58/DP001996-2, U58-DP001996-1, U58 DP001996)
- National Institute on Minority Health and Health Disparities
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- health disparities, sexual orientation, disability, mental health, smoking, excessive drinking, cardiovascular disease, obesity, diabetes mellitus, HIV testing, health care access, living alone, sexual minority health
- MeSH terms
- Bisexuality, Chronic Disease, Female, Health Services Accessibility, Health Surveys, Humans, Male, Mass Screening, Middle Aged, Washington, Health Behavior, Confidence Intervals, Logistic Models, Odds Ratio, Homosexuality, Male, Homosexuality, Female, Health Status Disparities
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