The Physical and Mental Health of Lesbian, Gay Male, and Bisexual (LGB) Older Adults: The Role of Key Health Indicators and Risk and Protective Factors
The Physical and Mental Health of Lesbian, Gay Male, and Bisexual (LGB) Older Adults: The Role of Key Health Indicators and Risk and Protective Factors
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DOI：
10.1093/geront/gns123
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发表时间：
2013-08-01
期刊：
影响因子：
5.7
通讯作者：
Hoy-Ellis, Charles P.
中科院分区：
文献类型：
--
作者：
Fredriksen-Goldsen, Karen I.;Emlet, Charles A.;Hoy-Ellis, Charles P.
目的：基于弹性理论，本文调查了关键健康指标和风险和保护因素对女同性恋、男同性恋和双性恋（LGB）老年人健康结果（包括一般健康、残疾和抑郁）的影响。设计和方法：对50岁及以上的LGB老年人（N = 2，439）进行横断面调查。Logistic回归分析主要健康指标（获得医疗保健和健康行为），风险因素（终身受害，内化的耻辱，和性身份隐瞒），和保护因素（社会支持和社会网络的大小）的贡献，健康的结果，当控制的背景特征。结果如下：研究结果显示，终身受害，医疗保健的经济障碍，肥胖和有限的身体活动独立和显着占LGB老年人的总体健康状况不佳，残疾和抑郁症。内化的耻辱感也是残疾和抑郁的重要预测因子。社会支持和社会网络规模是保护因素，降低了总体健康状况不佳、残疾和抑郁的几率。还观察到性别和性取向方面的一些明显差异。影响：LGB老年人的总体健康状况不佳，残疾和抑郁症的高水平是主要关注的问题。这些发现突出了关键风险和保护因素的重要作用，这些因素显著影响LGB老年人的健康结果。必须制定有针对性的干预措施，以解决这一历史上处于不利地位的人口所面临的独特健康问题。
Purpose: Based on resilience theory, this paper investigates the influence of key health indicators and risk and protective factors on health outcomes (including general health, disability, and depression) among lesbian, gay male, and bisexual (LGB) older adults. Design and Methods: A cross-sectional survey was conducted with LGB older adults, aged 50 and older (N = 2,439). Logistic regressions were conducted to examine the contributions of key health indicators (access to health care and health behaviors), risk factors (lifetime victimization, internalized stigma, and sexual identity concealment), and protective factors (social support and social network size) to health outcomes, when controlling for background characteristics. Results: The findings revealed that lifetime victimization, financial barriers to health care, obesity, and limited physical activity independently and significantly accounted for poor general health, disability, and depression among LGB older adults. Internalized stigma was also a significant predictor of disability and depression. Social support and social network size served as protective factors, decreasing the odds of poor general health, disability, and depression. Some distinct differences by gender and sexual orientation were also observed. Implications: High levels of poor general health, disability, and depression among LGB older adults are of major concern. These findings highlight the important role of key risk and protective factors, which significantly influences health outcomes among LGB older adults. Tailored interventions must be developed to address the distinct health issues facing this historically disadvantaged population.