Fredriksen-Goldsen Karen I, Kim Hyun-Jun, Shui Chengshi, Bryan Amanda E B
All of the authors are with the School of Social Work, University of Washington, Seattle.
Am J Public Health. 2017 Aug;107(8):1332-1338. doi: 10.2105/AJPH.2017.303922.
To examine disparities in chronic conditions and health indicators among lesbian, gay, and bisexual (LGB) adults aged 50 years or older in the United States.
We used data from the 2013 and 2014 National Health Interview Survey to compare disparities in chronic conditions, health outcomes and behaviors, health care access, and preventive health care by sexual orientation and gender.
LGB older adults were significantly more likely than heterosexual older adults to have a weakened immune system and low back or neck pain. In addition, sexual minority older women were more likely than their heterosexual counterparts to report having arthritis, asthma, a heart attack, a stroke, a higher number of chronic conditions, and poor general health. Sexual minority older men were more likely to report having angina pectoris or cancer. Rates of disability and mental distress were higher among LGB older adults.
At substantial cost to society, many disparities in chronic conditions, disability, and mental distress observed in younger LGB adults persist, whereas others, such as cardiovascular disease risks, present in later life. Interventions are needed to maximize LGB health.
研究美国50岁及以上女同性恋、男同性恋和双性恋（LGB）成年人在慢性病和健康指标方面的差异。
我们使用了2013年和2014年国家健康访谈调查的数据，以比较不同性取向和性别的成年人在慢性病、健康结果与行为、医疗保健可及性以及预防性医疗保健方面的差异。
LGB老年人比异性恋老年人更易出现免疫系统减弱以及腰背痛或颈痛。此外，性少数群体老年女性比异性恋老年女性更易报告患有关节炎、哮喘、心脏病发作、中风、慢性病数量更多以及总体健康状况较差。性少数群体老年男性更易报告患有心绞痛或癌症。LGB老年人的残疾率和精神困扰率更高。
年轻LGB成年人中存在的许多慢性病、残疾和精神困扰方面的差异持续存在，给社会带来了巨大成本，而其他差异，如心血管疾病风险，则出现在晚年。需要采取干预措施以促进LGB群体的健康。
