Count Me In

Fredriksen-Goldsen, Karen I.; Kim, Hyun Jun

doi:10.1177/0164027514542109

Cited by 68 publications

(15 citation statements)

References 18 publications

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“…The sampling weights may not have adequately adjusted for sampling bias because of the possibility of higher nonresponse rates on sexual orientation questions among those in older age brackets and racial/ethnic minority groups. 34,35 The samples of sexual minority older adults in this study were not large enough to allow investigation of health disparity differences among such subgroups. Because the NHIS collects information annually, pooled multiple-year data will allow for further evaluation of the diverse experiences of sexual minority older adults and for the development of targeted prevention efforts and interventions to improve the health of this population.…”

Section: Discussionmentioning

confidence: 96%

Chronic Health Conditions and Key Health Indicators Among Lesbian, Gay, and Bisexual Older US Adults, 2013–2014

et al. 2017

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Objectives To examine disparities in chronic conditions and health indicators among lesbian, gay, and bisexual (LGB) adults aged 50 years or older in the United States. Methods We used data from the 2013 and 2014 National Health Interview Survey to compare disparities in chronic conditions, health outcomes and behaviors, health care access, and preventive health care by sexual orientation and gender. Results LGB older adults were significantly more likely than heterosexual older adults to have a weakened immune system and low back or neck pain. In addition, sexual minority older women were more likely than their heterosexual counterparts to report having arthritis, asthma, a heart attack, a stroke, a higher number of chronic conditions, and poor general health. Sexual minority older men were more likely to report having angina pectoris or cancer. Rates of disability and mental distress were higher among LGB older adults. Conclusions At substantial cost to society, many disparities in chronic conditions, disability, and mental distress observed in younger LGB adults persist, whereas others, such as cardiovascular disease risks, present in later life. Interventions are needed to maximize LGB health.

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Section: Discussionmentioning

confidence: 96%

Chronic Health Conditions and Key Health Indicators Among Lesbian, Gay, and Bisexual Older US Adults, 2013–2014

et al. 2017

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“…[51] Similarly, sexual orientation measures are not often collected from patients and research participants, especially noted for older adults. [52,53] These omissions were observed in our own review of national cohorts. The literature also noted that biomedical research has generally neglected exploration of sexual orientation, apart from research focused on understanding sexually transmitted disease.…”

Section: Plos Onementioning

confidence: 90%

Diversity and inclusion for the All of Us research program: A scoping review

et al. 2020

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The All of Us Research Program (All of Us) is a national effort to accelerate health research by exploring the relationship between lifestyle, environment, and genetics. It is set to become one of the largest research efforts in U.S. history, aiming to build a national resource of data from at least one million participants. All of Us aims to address the need for more diversity in research and set the stage for that diversity to be leveraged in precision medicine research to come. This paper describes how the program assessed demographic characteristics of participants who have enrolled in other U.S. biomedical research cohorts to better understand which groups are traditionally represented or underrepresented in biomedical research. We 1) reviewed the enrollment characteristics of national cohort studies like All of Us, and 2) surveyed the literature, focusing on key diversity categories essential to the program's enrollment aims. Based on these efforts, All of Us emphasizes enrollment of racial and ethnic minorities, and has formally designated the following additional groups as historically underrepresented: individuals-with inadequate access to medical care; under the age of 18 or over 65; with an annual household income at or below 200% of the federal poverty level; who have a cognitive or physical disability; have less than a high school education or equivalent; are intersex; identify as a sexual or gender minority; or live in rural or non-metropolitan areas. Research accounting for wider demographic variability is critical. Only by ensuring diversity and by addressing the very barriers that limit it, can we position All of Us to better understand and tackle health disparities.

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“…15,33 While most people may feel comfortable being asked directly whether they are LGBT, some – particularly older adults – may be less comfortable with direct inquiries, 56 especially when they have experienced trauma related to discrimination in the past. 56,57 The practice of using inclusive language in each patient encounter, with all patients, from the outset of each encounter signals that providers do not follow heteronormative assumptions, that they recognize a diversity of patients, families, and experiences. Moreover, service providers that are seen as honoring and respecting all forms of diversity may be more likely to be seen as safe or supportive by LGBT patients.…”

Section: Recommendations For Practicementioning

confidence: 99%