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Health Disparities Among Lesbian, Gay, and Bisexual Older Adults: Results From a Population-Based Study

American Journal of Public Health · 2013 · Vol. 103(10) · pp. 1802–1809
Karen I. Fredriksen‐GoldsenHyun‐Jun KimSusan E. BarkanAnna MuracoCharles P. Hoy‐Ellis

Abstract

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.

LGBTQ Health, Identity, and PolicySexual orientationBehavioral Risk Factor Surveillance SystemLesbianSexual minorityMedicineHealth equityGerontologyPopulationPsychological interventionMental health

MeSH terms

BisexualityChronic DiseaseFemaleHealth Services AccessibilityHealth SurveysHumansMaleMass ScreeningMiddle AgedWashingtonHealth BehaviorConfidence IntervalsLogistic ModelsOdds RatioHomosexuality, Male

Funding

  • University of Washington
  • National Institutes of Health
  • National Institute on Aging
  • National Institute on Minority Health and Health Disparities
Citations
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References
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Risk Factors for Congestive Heart Failure in US Men and Women
Archives of Internal Medicine · 2001 · 1,170 citations
Disability in Older Adults: Evidence Regarding Significance, Etiology, and Risk
Journal of the American Geriatrics Society · 1997 · 869 citations
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