Melo Leonardo Rabelo de, Crenitte Milton Roberto Furst, Green Richard, Jacob Filho Wilson, Avelino-Silva Thiago Junqueira
Division of Geriatrics, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Faculdade de Medicina, Universidade de São Caetano do Sul, São Caetano do Sul, SP, Brazil.
Einstein (Sao Paulo). 2024 Dec 16;22:eAO0937. doi: 10.31744/einstein_journal/2024AO0937. eCollection 2024.
To investigate differences in the prevalence of frailty between LGBT+ and non-LGBT+ older adults.
A cross-sectional study involving Brazilians aged 50 and over was performed. The participants were invited to participate in an anonymous online survey between August 2019 and January 2020. The survey was widely distributed in neighborhood associations, day centers, non-governmental organizations, and social media. Those who identified as homosexual, bisexual, pansexual, non-heterosexual, transgender, travesti, or non-binary were grouped as LGBT+. Participants who were both cisgender and heterosexual were categorized as non-LGBT+. Frailty was measured using the FRAIL scale, and the participants were categorized as robust, prefrail, or frail. Generalized ordered logistic models were used to examine the adjusted association between LGBT+ status and frailty according to age and sex.
The study sample included 6,693 participants with a median age of 60 years. Overall, 1,332 patients were LGBT+ (19.9%), and 5,361 were non-LGBT+ (80.1%). Pre-frailty or frailty was observed in 656 (49%) LGBT+ participants and 2,460 (46%) non-LGBT+ participants (p=0.03). Multivariate analyses showed that being LGBT+ was independently associated with frailty in female participants aged ≥50 years (OR=1.52, 95%CI=1.08-2.13, p=0.02) and male participants aged ≥60 years (OR=2.83, 95%CI=1.41-5.69, p=0.004). Non-cisgender participants were also more likely to be frail than cisgender participants (OR=2.21, 95%CI=1.42-3.42, p<0.001).
LGBT+ status was independently associated with frailty in female adults aged >50 years and males aged > 60 years. More research in this area and inclusive government policies are needed to promote the healthy aging of the LGBT+ population.
调查LGBT+老年人与非LGBT+老年人之间衰弱患病率的差异。
对50岁及以上的巴西人进行了一项横断面研究。邀请参与者在2019年8月至2020年1月期间参加一项匿名在线调查。该调查在邻里协会、日间中心、非政府组织和社交媒体上广泛分发。那些自我认同为同性恋、双性恋、泛性恋、非异性恋、跨性别者、易装者或非二元性别的人被归为LGBT+。那些既是顺性别又是异性恋的参与者被归类为非LGBT+。使用FRAIL量表测量衰弱情况，参与者被分为强壮、衰弱前期或衰弱。采用广义有序逻辑模型根据年龄和性别检验LGBT+状态与衰弱之间的校正关联。
研究样本包括6693名参与者，中位年龄为60岁。总体而言，1332名患者为LGBT+（19.9%），5361名患者为非LGBT+（80.1%）。在656名（49%）LGBT+参与者和2460名（46%）非LGBT+参与者中观察到衰弱前期或衰弱（p=0.03）。多变量分析显示，LGBT+与≥50岁女性参与者的衰弱独立相关（OR=1.52，95%CI=1.08-2.13，p=0.02）以及≥60岁男性参与者的衰弱独立相关（OR=2.83，95%CI=1.41-5.69，p=0.004）。非顺性别参与者也比顺性别参与者更易衰弱（OR=2.21，95%CI=1.42-3.42，p<0.001）。
LGBT+状态与50岁以上女性和60岁以上男性的衰弱独立相关。需要在该领域开展更多研究并制定包容性政府政策，以促进LGBT+人群的健康老龄化。
