A Population Study of Health Status Among Sexual Minority Older Adults in Select US Geographic Regions
A Population Study of Health Status Among Sexual Minority Older Adults in Select US Geographic Regions
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DOI：
10.1177/1090198118818240
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发表时间：
2019-01-04
影响因子：
4.2
通讯作者：
Meyer, Ilan H.
中科院分区：
文献类型：
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作者：
Dai, Hongying;Meyer, Ilan H.
目标。这项研究旨在调查性别少数老年人的健康差距。方法。我们使用了2014、2015和2016年行为风险因素监测系统中美国选定地区50岁以上成年人的概率样本，并管理性取向问题(n=350,778)。用二元和多项Logistic回归模型分析一般健康状况、终生慢性健康状况、活动限制、药物使用、获得护理的机会和预防健康行为的差异，按性别(男/女)和年龄组(50-对65岁以上)进行分层。结果。与他们的异性同龄人相比，性少数老年人在一些健康结果上存在差异，包括抑郁障碍和药物使用的患病率更高。然而，性别和年龄组之间的差异并不一致。在预防性健康行为(如艾滋病毒检测)方面，男性和女性在性少数群体方面也比他们的直系同龄人有一些优势。没有性取向的受访者通常比他们的异性恋同龄人有更好的健康结果。结论。这项研究确定了女同性恋者、男同性恋者和双性恋者老年人亚群之间的健康差异，并强调了评估与性别、性认同和年龄相关的变异性的必要性。
Objective. This study seeks to examine the health disparities of sexual minority older adults. Method. We used a probability sample of adults older than 50 years in select U.S. regions from the 2014, 2015, and 2016 Behavioral Risk Factor Surveillance System with administration of the sexual orientation question (n = 350,778). Binary and multinomial logistic regression models were performed to examine health disparities in general health conditions, lifetime chronic health conditions, limitations in activities, substance use, access to care and preventive health behaviors by sexual minority status (straight, gay/lesbian, bisexual, other, and nonresponse), stratified by sex (male vs. female) and age group (50-64 vs. 65+ years). Results. Compared with their straight peers, sexual minority older adults had disparities in some health outcomes, including a higher prevalence of depressive disorder and substance use. However, the disparities were not uniform across gender and age groups. Both men and women sexual minorities had some advantages as well, related to preventive health behaviors (e.g., HIV testing), as compared with their straight peers. Nonrespondents in sexual orientation generally had better health outcomes than their straight peers. Conclusions. This study identifies health disparities among subgroups of lesbians, gay men, and bisexuals older adults and highlights the need to assess variability related to gender, sexual identity, and age of this high-risk population.