Han Benjamin H, Duncan Dustin T, Arcila-Mesa Mauricio, Palamar Joseph J
Department of Population Health, New York University School of Medicine, 550 First Avenue, New York, NY, 10016, USA.
Division of Geriatric Medicine and Palliative Care, Department of Medicine, New York University School of Medicine, 550 First Avenue, New York, NY, 10016, USA.
BMC Public Health. 2020 Aug 4;20(1):1123. doi: 10.1186/s12889-020-09210-6.
Older lesbian, gay, and bisexual (LGB) adults are an underserved and understudied population that experience specific health disparities. The intersection of aging and chronic medical disease with a higher risk for substance use and mental illness may place older LGB adults at risk for co-occurring conditions and resulting comorbidity. Understanding multimorbidity among older LGB adults may help inform interventions to reduce disparities in health outcomes.
Data come from the 2015 to 2017 National Surveys on Drug Use and Health (n = 25,880). We first determined whether sexual orientation was associated with reporting: past-year drug use, mental illness, and/or 2 or more chronic medical diseases. We then determined whether sexual orientation was associated with reporting co-occurrence of these conditions. This was done using multivariable logistic regression. Analyses were stratified by gender.
Compared to heterosexual men, gay men were at increased odds for reporting 2 or more chronic medical diseases (adjusted odds ratio [aOR] = 2.18, 95% confidence interval [CI] = 1.48, 3.21), and gay (aOR = 1.79, 95% CI = 1.09, 2.93) and bisexual men (aOR = 3.53, 95% CI = 2.03, 6.14) were at increased odds for reporting mental illness. Gay men (aOR = 2.95, 95CI = 1.60, 5.49) and bisexual men (aOR = 2.84, 95% CI = 1.58, 5.08) were at increased odds of reporting co-occurring conditions. Compared to heterosexual women, bisexual women were at increased odds for past-year drug use (aOR = 4.20, 95% CI = 2.55, 6.93), reporting mental illness (aOR = 1.94, 95% CI = 1.03, 3.67), and reporting co-occurring conditions (aOR = 3.25, 95% = 1.60, 6.62).
Middle-aged and older LGB adults in the United States are at high risk for experiencing co-occurring drug use, mental illness, and/or medical multimorbidity. Interventions for older sexual minority populations are needed to reduce disparities.
老年女同性恋、男同性恋和双性恋（LGB）成年人是未得到充分服务和研究的人群，他们面临特定的健康差异。衰老、慢性疾病与药物使用和精神疾病的较高风险相互交织，可能使老年LGB成年人面临并发疾病及由此导致的共病风险。了解老年LGB成年人的多重疾病情况可能有助于为减少健康结果差异的干预措施提供信息。
数据来自2015年至2017年的全国药物使用和健康调查（n = 25,880）。我们首先确定性取向是否与以下报告相关：过去一年的药物使用、精神疾病和/或两种或更多慢性疾病。然后确定性取向是否与这些情况的并发报告相关。这是通过多变量逻辑回归完成的。分析按性别分层。
与异性恋男性相比，男同性恋者报告两种或更多慢性疾病的几率增加（调整后的优势比[aOR]=2.18，95%置信区间[CI]=1.48，3.21），男同性恋者（aOR = 1.79，95% CI = 1.09，2.93）和双性恋男性（aOR = 3.53，95% CI = 2.03，6.14）报告精神疾病的几率增加。男同性恋者（aOR = 2.95，95CI = 1.60，5.49）和双性恋男性（aOR = 2.84，95% CI = 1.58，5.08）报告并发情况的几率增加。与异性恋女性相比，双性恋女性过去一年药物使用（aOR = 4.20，9
