Health Indicators for Older Sexual Minorities: National Health Interview Survey, 2013-2014
Health Indicators for Older Sexual Minorities: National Health Interview Survey, 2013-2014
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DOI：
10.1089/lgbt.2016.0203
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发表时间：
2017-10-13
期刊：
影响因子：
4.8
通讯作者：
Haffer, Samuel C.
中科院分区：
文献类型：
--
作者：
Dragon, Christina N.;Laffan, Alison M.;Haffer, Samuel C.
目的：过去十年，女同性恋、男同性恋和双性恋（性少数 [SM]）的接受度和平等性取得了进步。然而，由于缺乏数据以及对这些人群的了解，某些 SM 亚群体仍然处于不利地位。关于老年性少数群体的数据尤其缺乏，并且随着越来越多的性少数群体进入老年，这些数据将变得越来越重要。本研究探讨了一项具有全国代表性的健康调查结果，以阐明老年性少数群体的一些健康指标。方法：汇集 2013 年和 2014 年国家健康访谈调查 (NHIS) 的数据以增加样本量，并按照先前 NHIS 性取向研究的建议遵循既定的研究方法。我们对 SM 和异性恋群体之间 12 项健康指标的差异进行了描述性分析。结果：12 项健康指标中有 4 项在性少数群体中存在显着差异，而这 4 项中的 3 项表明与异性恋者相比有积极的健康结果或行为。与异性恋同龄人相比，接受艾滋病毒检测的性少数群体数量是其三倍以上，接受流感疫苗的性少数群体数量增加了 10%，报告健康状况极好的或非常好的性少数群体数量增加了 10% 以上。报告酗酒的性少数群体人数是其两倍多，这与之前针对成年性少数群体的研究结果一致。结论：本分析首次使用 NHIS 性取向数据来检验老年性少数群体健康指标的国家数据。随着越来越多的调查开始收集 SM 数据以及 NHIS 收集更多年的数据，应该会出现更清晰的性少数群体和老年人性少数群体健康状况。
Purpose: Advances in lesbian, gay, and bisexual (sexual minority [SM]) acceptance and equality have been made in the past decade. However, certain SM subgroups continue to be disadvantaged due to lack of data and, thus, lack of knowledge about these populations. Data for older sexual minorities are especially lacking and will be increasingly important as more sexual minorities enter older age. This research explores results from a nationally representative health survey to elucidate some health indicators for older sexual minorities.Methods: Data from the 2013 and 2014 National Health Interview Surveys (NHIS) were pooled for increased sample size, and established research methods were followed as recommended by prior NHIS sexual orientation studies. We conducted descriptive analyses on the differences between SM and heterosexual groups for 12 health indicators.Results: Four out of the 12 health indicators were significantly different for sexual minorities, and three out of those four indicated positive health outcomes or behaviors when compared with heterosexuals. More than three times as many sexual minorities received HIV testing,similar to 10% more sexual minorities received an influenza vaccine, and more than 10% more sexual minorities reported excellent or very good health compared with their heterosexual peers. More than twice as many sexual minorities also reported binge drinking, which is consistent with prior research for adult sexual minorities.Conclusion: This analysis is the first to examine national data on health indicators for older sexual minorities using NHIS sexual orientation data. As more surveys begin to collect SM data and more years of data are collected by NHIS, a clearer picture of the health of sexual minorities and older adult sexual minorities should emerge.