Karen I. Fredriksen-Goldsen, Hyun-Jun Kim, Susan E. Barkan, and Charles P. Hoy-Ellis are with the School of Social Work, University of Washington, Seattle. Anna Muraco is with the Department of Sociology, Loyola Marymount University, Los Angeles.
Am J Public Health. 2013 Oct;103(10):1802-9. doi: 10.2105/AJPH.2012.301110. Epub 2013 Jun 13.
We investigated health disparities among lesbian, gay, and bisexual (LGB) adults aged 50 years and older.
We analyzed data from the 2003-2010 Washington State Behavioral Risk Factor Surveillance System (n = 96 992) on health outcomes, chronic conditions, access to care, behaviors, and screening by gender and sexual orientation with adjusted logistic regressions.
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.
我们调查了 50 岁及以上的同性恋、双性恋和异性恋（LGB）成年人之间的健康差异。
我们分析了 2003-2010 年华盛顿州行为风险因素监测系统的数据（n=96992），这些数据涉及健康结果、慢性疾病、获得医疗保健的机会、行为和筛查，分析基于性别和性取向，采用调整后的逻辑回归。
与异性恋者相比，LGB 老年成年人残疾、心理健康不良、吸烟和酗酒的风险更高。女同性恋者和双性恋女性患心血管疾病和肥胖的风险更高，男同性恋者和双性恋男性身体健康状况较差和独居的风险更高。女同性恋者酗酒的比例高于双性恋女性；男双性恋者患糖尿病的比例较高，而接受艾滋病毒检测的比例较低。
需要有针对性的干预措施来解决 LGB 老年成年人的健康差异和独特的健康需求。需要在整个生命周期开展研究，以便更好地了解性取向和年龄的健康差异，并评估这些社区内的亚群差异。
