Co-occurring mental illness, drug use, and medical multimorbidity among lesbian, gay, and bisexual middle-aged and older adults in the United States: a nationally representative study
Autor: | Benjamin H. Han, Joseph J. Palamar, Dustin T. Duncan, Mauricio Arcila-Mesa |
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Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty Substance-Related Disorders Sexual Behavior Population Psychological intervention Comorbidity Chronic disease Sexual and Gender Minorities 03 medical and health sciences 0302 clinical medicine Odds Ratio medicine Humans 030212 general & internal medicine Heterosexuality education Aged education.field_of_study 030505 public health business.industry Mental Disorders lcsh:Public aspects of medicine Public health Public Health Environmental and Occupational Health Homosexuality Female Multimorbidity lcsh:RA1-1270 Odds ratio Middle Aged Mental health United States Health equity Sexual minority Sexual minorities Logistic Models Geriatrics Sexual orientation Bisexuality Female 0305 other medical science business Research Article Demography |
Zdroj: | BMC Public Health, Vol 20, Iss 1, Pp 1-9 (2020) BMC Public Health |
ISSN: | 1471-2458 |
Popis: | Background 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. Methods 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. Results 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). Conclusions 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. |
Databáze: | OpenAIRE |
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