Disability and Health Disparities for Lesbian, Gay, Bisexual Adults
There are significant disparities in the quality of health, and access to healthcare between American gay men, lesbians and bisexuals and the heterosexual population. Lesbians and bisexual men and women also tend to do worse than gay men, and transgender folks have even more cards stacked against them, I’m not even covering them quite yet!
Results. Findings indicated that the prevalence of disability is higher among lesbian, gay, and bisexual adults compared with their heterosexual counterparts;lesbian, gay, and bisexual adults with disabilities are significantly younger than heterosexual adults with disabilities. Higher disability prevalence among lesbians and among bisexual women and men remained significant after we controlled for covariates of disability.
Conclusions. Higher rates of disability among lesbian, gay, and bisexual adults are of major concern. Efforts are needed to prevent, delay, and reduce disabilities as well as to improve the quality of life for lesbian, gay, and bisexual adults with disabilities. Future prevention and intervention efforts need to address the unique concerns of these groups.
“Similarly, controlling for the disparate health-related conditions for lesbians (smoking, arthritis, obesity, and frequent mental distress) and bisexual women (smoking, arthritis, asthma, and frequent poor physical health and mental distress) only slightly reduced the disparity in disabilities compared with heterosexual women. These findings indicate that although prevention efforts for lesbians and bisexual women and men should focus on reducing the disparities in the disability-associated health conditions, unexplained elevated disability may remain for lesbians and bisexual women and men, which warrants further exploration. In addition, further research is needed to better understand other risk factors that may account for the higher prevalence of disability among LGB adults.”
LGB older adults had higher risk of disability, poor mental health, smoking, and excessive drinking than did heterosexuals. Lesbians and bisexual women had higher risk of cardiovascular disease and obesity, and gay and bisexual men had higher risk of poor physical health and living alone than did heterosexuals. Lesbians reported a higher rate of excessive drinking than did bisexual women; bisexual men reported a higher rate of diabetes and a lower rate of being tested for HIV than did gay men. Conclusions. Tailored interventions are needed to address the health disparities and unique health needs of LGB older adults. Research across the life course is needed to better understand health disparities by sexual orientation and age, and to assess subgroup differences within these communities..