Westwood, S;
Willis, P;
Fish, J;
Hafford-Letchfield, T;
Semlyen, J;
King, A;
Beach, B;
... Becares, L; + view all
(2020)
Older LGBT+ health inequalities in the UK: setting a research agenda.
Journal of Epidemiology and Community Health
10.1136/jech-2019-213068.
(In press).
Preview |
Text
FULL DOC JECH ARTICLE V4 ACCEPTED.pdf - Accepted Version Download (315kB) | Preview |
Abstract
Lesbian, gay, bisexual and trans+ (LGBT+) people report poorer health than the general population and worse experiences of healthcare particularly cancer, palliative/end-of-life, dementia and mental health provision. This is attributable to: (a) social inequalities, including ‘minority stress’; (b) associated health-risk behaviours (eg, smoking, excessive drug/alcohol use, obesity); (c) loneliness and isolation, affecting physical/mental health and mortality; (d) anticipated/experienced discrimination and (e) inadequate understandings of needs among healthcare providers. Older LGBT+ people are particularly affected, due to the effects of both cumulative disadvantage and ageing. There is a need for greater and more robust research data to support growing international and national government initiatives aimed at addressing these health inequalities. We identify seven key research strategies: (1) Production of large data sets; (2) Comparative data collection; (3) Addressing diversity and intersectionality among LGBT+ older people; (4) Investigation of healthcare services’ capacity to deliver LGBT+ affirmative healthcare and associated education and training needs; (5) Identification of effective health promotion and/or treatment interventions for older LGBT+ people, and subgroups within this umbrella category; (6) Development of an (older) LGBT+ health equity model; (7) Utilisation of social justice concepts to ensure meaningful, change-orientated data production which will inform and support government policy, health promotion and healthcare interventions.
Archive Staff Only
 |
View Item |
