Successful Aging Among LGBT Older Adults: Physical and Mental Health-Related Quality of Life by Age Group
Successful Aging Among LGBT Older Adults: Physical and Mental Health-Related Quality of Life by Age Group
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DOI：
10.1093/geront/gnu081
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发表时间：
2015-02-01
期刊：
影响因子：
5.7
通讯作者：
Emlet, Charles A.
中科院分区：
文献类型：
--
作者：
Fredriksen-Goldsen, Karen I.;Kim, Hyun-Jun;Emlet, Charles A.
女同性恋者、男同性恋者、双性恋者和变性人(LGBT)是健康状况不同的人群，如《健康人2020》所确定的那样。然而，人们对LGBT老年人如何在面临逆境的情况下保持成功老龄化的关注有限。本研究采用复原力框架，通过对50岁及以上LGBT成年人(N=2,560)的横断面调查：通过与美国11个站点的合作，对50岁及以上的LGBT成年人(N=2,560)进行了横断面调查：通过与美国11个地点的合作，进行了国家健康、老龄化和性研究。线性回归分析测试了年龄组(50-；65-79；身心健康生活质量与歧视和慢性病呈负相关，与社会支持、社会网络规模、身体和休闲活动、不使用药物、就业、收入和男性呈正相关，并控制了年龄和其他协变量。心理健康生活质量与积极的性认同感呈正相关，与性认同披露呈负相关。不同年龄组的重要差异出现了，对于老年组来说，歧视的影响尤其显著。这是第一次研究LGBT老年人的身心健康生活质量，将其作为成功老龄化的指标。了解按年龄组划分的资源配置和风险，对于制定适应不断增长的人口的老龄化和保健倡议非常重要。
Lesbian, gay, bisexual, and transgender (LGBT) people are a health disparate population as identified in Healthy People 2020. Yet, there has been limited attention to how LGBT older adults maintain successful aging despite the adversity they face. Utilizing a Resilience Framework, this study investigates the relationship between physical and mental health-related quality of life (QOL) and covariates by age group.A cross-sectional survey of LGBT adults aged 50 and older (N = 2,560) was conducted by Caring and Aging with Pride: The National Health, Aging, and Sexuality Study via collaborations with 11 sites across the U.S. Linear regression analyses tested specified relationships and moderating effects of age groups (aged 50-64; 65-79; 80 and older).Physical and mental health QOL were negatively associated with discrimination and chronic conditions and positively with social support, social network size, physical and leisure activities, substance nonuse, employment, income, and being male when controlling for age and other covariates. Mental health QOL was also positively associated with positive sense of sexual identity and negatively with sexual identity disclosure. Important differences by age group emerged and for the old-old age group the influence of discrimination was particularly salient.This is the first study to examine physical and mental health QOL, as an indicator of successful aging, among LGBT older adults. An understanding of the configuration of resources and risks by age group is important for the development of aging and health initiatives tailored for this growing population.