Race/Ethnicity and Health-Related Quality of Life Among LGBT Older Adults
Few existing studies have addressed racial/ethnic differences in the health and quality of life of lesbian, gay, bisexual, and transgender (LGBT) older adults. Guided by the Health Equity Promotion Model, this study examines health-promoting and health risk factors that contribute to racial/ethnic h...
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| Veröffentlicht in: | The Gerontologist 2017-02, Vol.57 (suppl 1), p.S30-S39 |
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| creator | Kim, Hyun-Jun Jen, Sarah Fredriksen-Goldsen, Karen I |
| description | Few existing studies have addressed racial/ethnic differences in the health and quality of life of lesbian, gay, bisexual, and transgender (LGBT) older adults. Guided by the Health Equity Promotion Model, this study examines health-promoting and health risk factors that contribute to racial/ethnic health disparities among LGBT adults aged 50 and older.
We utilized weighted survey data from Aging with Pride: National Health, Aging, and Sexuality/Gender Study. By applying multiple mediator models, we analyzed the indirect effects of race/ethnicity on health-related quality of life (HRQOL) via demographics, lifetime LGBT-related discrimination, and victimization, and socioeconomic, identity-related, spiritual, and social resources.
Although African Americans and Hispanics, compared with non-Hispanic Whites, reported lower physical HRQOL and comparable psychological HRQOL, indirect pathways between race/ethnicity and HRQOL were observed. African Americans and Hispanics had lower income, educational attainment, identity affirmation, and social support, which were associated with a decrease in physical and psychological HRQOL. African Americans had higher lifetime LGBT-related discrimination, which was linked to a decrease in their physical and psychological HRQOL. African Americans and Hispanics had higher spirituality, which was associated with an increase in psychological HRQOL.
Findings illustrate the importance of identifying both health-promoting and health risk factors to understand ways to maximize the health potential of racially and ethnically diverse LGBT older adults. Interventions aimed at health equity should be tailored to bolster identity affirmation and social networks of LGBT older adults of color and to support strengths, including spiritual resources. |
| doi_str_mv | 10.1093/geront/gnw172 |
| format | Article |
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We utilized weighted survey data from Aging with Pride: National Health, Aging, and Sexuality/Gender Study. By applying multiple mediator models, we analyzed the indirect effects of race/ethnicity on health-related quality of life (HRQOL) via demographics, lifetime LGBT-related discrimination, and victimization, and socioeconomic, identity-related, spiritual, and social resources.
Although African Americans and Hispanics, compared with non-Hispanic Whites, reported lower physical HRQOL and comparable psychological HRQOL, indirect pathways between race/ethnicity and HRQOL were observed. African Americans and Hispanics had lower income, educational attainment, identity affirmation, and social support, which were associated with a decrease in physical and psychological HRQOL. African Americans had higher lifetime LGBT-related discrimination, which was linked to a decrease in their physical and psychological HRQOL. African Americans and Hispanics had higher spirituality, which was associated with an increase in psychological HRQOL.
Findings illustrate the importance of identifying both health-promoting and health risk factors to understand ways to maximize the health potential of racially and ethnically diverse LGBT older adults. Interventions aimed at health equity should be tailored to bolster identity affirmation and social networks of LGBT older adults of color and to support strengths, including spiritual resources.</description><identifier>ISSN: 0016-9013</identifier><identifier>EISSN: 1758-5341</identifier><identifier>DOI: 10.1093/geront/gnw172</identifier><identifier>PMID: 28087793</identifier><identifier>CODEN: GRNTA3</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>African Americans ; Aged ; Aged, 80 and over ; Aging ; Bisexuality ; Crime Victims ; Demographics ; Discrimination ; Educational attainment ; Educational Status ; Equity ; Ethnic Groups ; Ethnic identity ; Ethnicity ; European Continental Ancestry Group ; Female ; Gender identity ; Health education ; Health Status ; Health Status Disparities ; Hispanic Americans ; Homophobia ; Homosexuality ; Humans ; Income ; Lesbianism ; LGBTQ studies ; Male ; Middle Aged ; Multiculturalism & pluralism ; Older people ; Quality of Life ; Racial differences ; Religiosity ; Self esteem ; Sexual and Gender Minorities ; Sexuality ; Social Class ; Social Identification ; Social networks ; Social Support ; Socioeconomic factors ; Spirituality ; United States ; Victimization ; Victims ; White people</subject><ispartof>The Gerontologist, 2017-02, Vol.57 (suppl 1), p.S30-S39</ispartof><rights>The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>Copyright Oxford University Press, UK Feb 2017</rights><rights>The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-29350a9d0cfe92ebe42b0c415239a1552c6ed4e0289d211052c13de5908cb3c43</citedby><cites>FETCH-LOGICAL-c415t-29350a9d0cfe92ebe42b0c415239a1552c6ed4e0289d211052c13de5908cb3c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925,33774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28087793$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Hyun-Jun</creatorcontrib><creatorcontrib>Jen, Sarah</creatorcontrib><creatorcontrib>Fredriksen-Goldsen, Karen I</creatorcontrib><title>Race/Ethnicity and Health-Related Quality of Life Among LGBT Older Adults</title><title>The Gerontologist</title><addtitle>Gerontologist</addtitle><description>Few existing studies have addressed racial/ethnic differences in the health and quality of life of lesbian, gay, bisexual, and transgender (LGBT) older adults. Guided by the Health Equity Promotion Model, this study examines health-promoting and health risk factors that contribute to racial/ethnic health disparities among LGBT adults aged 50 and older.
We utilized weighted survey data from Aging with Pride: National Health, Aging, and Sexuality/Gender Study. By applying multiple mediator models, we analyzed the indirect effects of race/ethnicity on health-related quality of life (HRQOL) via demographics, lifetime LGBT-related discrimination, and victimization, and socioeconomic, identity-related, spiritual, and social resources.
Although African Americans and Hispanics, compared with non-Hispanic Whites, reported lower physical HRQOL and comparable psychological HRQOL, indirect pathways between race/ethnicity and HRQOL were observed. African Americans and Hispanics had lower income, educational attainment, identity affirmation, and social support, which were associated with a decrease in physical and psychological HRQOL. African Americans had higher lifetime LGBT-related discrimination, which was linked to a decrease in their physical and psychological HRQOL. African Americans and Hispanics had higher spirituality, which was associated with an increase in psychological HRQOL.
Findings illustrate the importance of identifying both health-promoting and health risk factors to understand ways to maximize the health potential of racially and ethnically diverse LGBT older adults. Interventions aimed at health equity should be tailored to bolster identity affirmation and social networks of LGBT older adults of color and to support strengths, including spiritual resources.</description><subject>African Americans</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Bisexuality</subject><subject>Crime Victims</subject><subject>Demographics</subject><subject>Discrimination</subject><subject>Educational attainment</subject><subject>Educational Status</subject><subject>Equity</subject><subject>Ethnic Groups</subject><subject>Ethnic identity</subject><subject>Ethnicity</subject><subject>European Continental Ancestry Group</subject><subject>Female</subject><subject>Gender identity</subject><subject>Health education</subject><subject>Health Status</subject><subject>Health Status Disparities</subject><subject>Hispanic Americans</subject><subject>Homophobia</subject><subject>Homosexuality</subject><subject>Humans</subject><subject>Income</subject><subject>Lesbianism</subject><subject>LGBTQ studies</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multiculturalism & pluralism</subject><subject>Older people</subject><subject>Quality of Life</subject><subject>Racial differences</subject><subject>Religiosity</subject><subject>Self esteem</subject><subject>Sexual and Gender Minorities</subject><subject>Sexuality</subject><subject>Social Class</subject><subject>Social Identification</subject><subject>Social networks</subject><subject>Social Support</subject><subject>Socioeconomic factors</subject><subject>Spirituality</subject><subject>United States</subject><subject>Victimization</subject><subject>Victims</subject><subject>White people</subject><issn>0016-9013</issn><issn>1758-5341</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNpdkc1LAzEQxYMoWqtHr7LgxcvafGy6m4tQi19QKBY9hzSZbVfSRJOs4n_vLlVRT8PM-_GYmYfQCcEXBAs2WkHwLo1W7p2UdAcNSMmrnLOC7KIBxmScC0zYATqM8Rl3PaXlPjqgFa7KUrABul8oDaPrtHaNbtJHppzJ7kDZtM4XYFUCkz20yvaSr7NZU0M22Xi3yma3V4_Z3BoI2cS0NsUjtFcrG-H4qw7R08314_Qun81v76eTWa4LwlNOBeNYCYN1DYLCEgq6xL1EmVCEc6rHYArAtBKGEoK7AWEGuMCVXjJdsCG63Pq-tMsNGA0uBWXlS2g2KnxIrxr5V3HNWq78m-S06J7TG5x_GQT_2kJMctNEDdYqB76NklRjUgje_22Izv6hz74Nrjuvp6gYVyVnHZVvKR18jAHqn2UIln1IchuS3IbU8ae_L_ihv1Nhn0aAjio</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Kim, Hyun-Jun</creator><creator>Jen, Sarah</creator><creator>Fredriksen-Goldsen, Karen I</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>ASE</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170201</creationdate><title>Race/Ethnicity and Health-Related Quality of Life Among LGBT Older Adults</title><author>Kim, Hyun-Jun ; Jen, Sarah ; Fredriksen-Goldsen, Karen I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-29350a9d0cfe92ebe42b0c415239a1552c6ed4e0289d211052c13de5908cb3c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>African Americans</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Bisexuality</topic><topic>Crime Victims</topic><topic>Demographics</topic><topic>Discrimination</topic><topic>Educational attainment</topic><topic>Educational Status</topic><topic>Equity</topic><topic>Ethnic Groups</topic><topic>Ethnic identity</topic><topic>Ethnicity</topic><topic>European Continental Ancestry Group</topic><topic>Female</topic><topic>Gender identity</topic><topic>Health education</topic><topic>Health Status</topic><topic>Health Status Disparities</topic><topic>Hispanic Americans</topic><topic>Homophobia</topic><topic>Homosexuality</topic><topic>Humans</topic><topic>Income</topic><topic>Lesbianism</topic><topic>LGBTQ studies</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multiculturalism & pluralism</topic><topic>Older people</topic><topic>Quality of Life</topic><topic>Racial differences</topic><topic>Religiosity</topic><topic>Self esteem</topic><topic>Sexual and Gender Minorities</topic><topic>Sexuality</topic><topic>Social Class</topic><topic>Social Identification</topic><topic>Social networks</topic><topic>Social Support</topic><topic>Socioeconomic factors</topic><topic>Spirituality</topic><topic>United States</topic><topic>Victimization</topic><topic>Victims</topic><topic>White people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Hyun-Jun</creatorcontrib><creatorcontrib>Jen, Sarah</creatorcontrib><creatorcontrib>Fredriksen-Goldsen, Karen I</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Gerontologist</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Hyun-Jun</au><au>Jen, Sarah</au><au>Fredriksen-Goldsen, Karen I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Race/Ethnicity and Health-Related Quality of Life Among LGBT Older Adults</atitle><jtitle>The Gerontologist</jtitle><addtitle>Gerontologist</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>57</volume><issue>suppl 1</issue><spage>S30</spage><epage>S39</epage><pages>S30-S39</pages><issn>0016-9013</issn><eissn>1758-5341</eissn><coden>GRNTA3</coden><abstract>Few existing studies have addressed racial/ethnic differences in the health and quality of life of lesbian, gay, bisexual, and transgender (LGBT) older adults. Guided by the Health Equity Promotion Model, this study examines health-promoting and health risk factors that contribute to racial/ethnic health disparities among LGBT adults aged 50 and older.
We utilized weighted survey data from Aging with Pride: National Health, Aging, and Sexuality/Gender Study. By applying multiple mediator models, we analyzed the indirect effects of race/ethnicity on health-related quality of life (HRQOL) via demographics, lifetime LGBT-related discrimination, and victimization, and socioeconomic, identity-related, spiritual, and social resources.
Although African Americans and Hispanics, compared with non-Hispanic Whites, reported lower physical HRQOL and comparable psychological HRQOL, indirect pathways between race/ethnicity and HRQOL were observed. African Americans and Hispanics had lower income, educational attainment, identity affirmation, and social support, which were associated with a decrease in physical and psychological HRQOL. African Americans had higher lifetime LGBT-related discrimination, which was linked to a decrease in their physical and psychological HRQOL. African Americans and Hispanics had higher spirituality, which was associated with an increase in psychological HRQOL.
Findings illustrate the importance of identifying both health-promoting and health risk factors to understand ways to maximize the health potential of racially and ethnically diverse LGBT older adults. Interventions aimed at health equity should be tailored to bolster identity affirmation and social networks of LGBT older adults of color and to support strengths, including spiritual resources.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>28087793</pmid><doi>10.1093/geront/gnw172</doi><oa>free_for_read</oa></addata></record> |
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| subjects | African Americans Aged Aged, 80 and over Aging Bisexuality Crime Victims Demographics Discrimination Educational attainment Educational Status Equity Ethnic Groups Ethnic identity Ethnicity European Continental Ancestry Group Female Gender identity Health education Health Status Health Status Disparities Hispanic Americans Homophobia Homosexuality Humans Income Lesbianism LGBTQ studies Male Middle Aged Multiculturalism & pluralism Older people Quality of Life Racial differences Religiosity Self esteem Sexual and Gender Minorities Sexuality Social Class Social Identification Social networks Social Support Socioeconomic factors Spirituality United States Victimization Victims White people |
| title | Race/Ethnicity and Health-Related Quality of Life Among LGBT Older Adults |
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