Document Detail

The physical and mental health of lesbian, gay male, and bisexual (LGB) older adults: the role of key health indicators and risk and protective factors.
MedLine Citation:
PMID:  23034470     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Based on resilience theory, this paper investigates the influence of key health indicators and risk and protective factors on health outcomes (including general health, disability, and depression) among lesbian, gay male, and bisexual (LGB) older adults.
DESIGN AND METHODS: A cross-sectional survey was conducted with LGB older adults, aged 50 and older (N = 2,439). Logistic regressions were conducted to examine the contributions of key health indicators (access to health care and health behaviors), risk factors (lifetime victimization, internalized stigma, and sexual identity concealment), and protective factors (social support and social network size) to health outcomes, when controlling for background characteristics.
RESULTS: The findings revealed that lifetime victimization, financial barriers to health care, obesity, and limited physical activity independently and significantly accounted for poor general health, disability, and depression among LGB older adults. Internalized stigma was also a significant predictor of disability and depression. Social support and social network size served as protective factors, decreasing the odds of poor general health, disability, and depression. Some distinct differences by gender and sexual orientation were also observed.
IMPLICATIONS: High levels of poor general health, disability, and depression among LGB older adults are of major concern. These findings highlight the important role of key risk and protective factors, which significantly influences health outcomes among LGB older adults. Tailored interventions must be developed to address the distinct health issues facing this historically disadvantaged population.
Karen I Fredriksen-Goldsen; Charles A Emlet; Hyun-Jun Kim; Anna Muraco; Elena A Erosheva; Jayn Goldsen; Charles P Hoy-Ellis
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2012-10-03
Journal Detail:
Title:  The Gerontologist     Volume:  53     ISSN:  1758-5341     ISO Abbreviation:  Gerontologist     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-07-15     Completed Date:  2014-03-10     Revised Date:  2014-08-06    
Medline Journal Info:
Nlm Unique ID:  0375327     Medline TA:  Gerontologist     Country:  United States    
Other Details:
Languages:  eng     Pagination:  664-75     Citation Subset:  IM    
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MeSH Terms
Aged, 80 and over
Bisexuality / psychology,  statistics & numerical data*
Cross-Sectional Studies
Depression / psychology
Health Behavior
Health Services Accessibility
Health Status*
Health Status Indicators*
Homosexuality, Female / psychology,  statistics & numerical data*
Homosexuality, Male / psychology,  statistics & numerical data*
Logistic Models
Mental Health*
Middle Aged
Minority Health
Quality of Life
Resilience, Psychological
Risk Factors
Social Stigma
Social Support
Socioeconomic Factors
Grant Support
R01 AG026526/AG/NIA NIH HHS; R01 AG026526/AG/NIA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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