Race/Ethnicity and Health-Related Quality of Life Among LGBT Older Adults

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

doi:10.1093/geront/gnw172

Cited by 93 publications

(55 citation statements)

References 38 publications

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“…Our study was rooted in intersectionality theory, which argues that women who hold multiple minority social positions (i.e., gender, race, and sexual orientation) experience unique oppression and discrimination due to their interlocking social positions as Black and sexual minority ( Crenshaw, 1989 ). For Black women and Black SMW, experiencing intersectional oppression is linked with poor mental and physical health ( Agénor et al, 2014 , 2019 ; Kim et al, 2017 ; Lewis et al, 2017 ; Moody & Lewis, 2019 ); however, these studies do not investigate how intersectional oppression—approximated by holding multiple, intersecting, marginalized social positions (i.e., multiple marginalization)—confers excess risk for resource loss, including food insecurity ( Link & Phelan, 1995 ; Phelan et al, 2010 ; Warnecke et al, 2008 ).…”

Section: Discussionmentioning

confidence: 99%

Disparities in food insecurity at the intersection of race and sexual orientation: A population-based study of adult women in the United States

Patterson

Russomanno

Teferra

et al. 2020

SSM - Population Health

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Food insecurity affects 1 in 8 American adults annually, and is more prevalent in Black and sexual minority women. We applied an intersectional approach to investigate food insecurity prevalence in women with intersecting minority race and sexual orientation. We used two United States surveillance systems—National Health Interview Survey (NHIS) 2013–2018 and National Health and Nutrition Examination Survey (NHANES) 2005–2014, to estimate how race and sexual orientation jointly influence food insecurity prevalence in women aged 18–59 years (NHIS: N = 47596; NHANES: N = 5106). All analyses were stratified for Supplemental Nutrition Assistance Program (SNAP) use. Relative measures estimated weighted prevalence ratios (PR) comparing Black and White sexual minority women (SMW) to heterosexual White women. Absolute prevalence measures estimated the excess prevalence of food insecurity due to multiple marginalization. Patterns of food insecurity prevalence were similar across NHIS and NHANES, and differed only for non-SNAP users. Relative prevalence of food insecurity was greater in Black SMW than heterosexual White women in NHIS (PR: 2.16; 95% confidence interval [CI], 1.41–3.30) and NHANES (PR: 2.79; 95% CI, 1.73–4.51). The strength of the association between multiple marginalization and food insecurity was stronger for Black SMW than White SMW. Absolute measures were significant only for NHIS and did not support our a priori hypothesis: For non-SNAP users, being Black and sexual minority reduced the joint disparity in food insecurity by approximately 50% (Synergy Index: 0.52; 95% CI, 0.11–0.93). Overall, our study illuminated population-level differences in food insecurity among women of diverse minority races and sexual orientations. Black SMW experienced high rates of food insecurity, which may contribute to chronic disease disparities. Yet, intersecting minority social positions (race and sexual orientation) reduced food insecurity; these findings are unexpected and must be further investigated. Increasing SNAP use among multiply marginalized women may attenuate food insecurity disparities.

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Section: Discussionmentioning

confidence: 99%

Disparities in food insecurity at the intersection of race and sexual orientation: A population-based study of adult women in the United States

Patterson

Russomanno

Teferra

et al. 2020

SSM - Population Health

View full text Add to dashboard Cite

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“…We used a sampling approach that incorporated strategies for reaching single adults (about 45% of the sample) and African Americans (33% of sample). Each of these identity dimensions is likely to play a role in health disparities and coping for older adults (Conner et al, 2010; Fredriksen-Goldsen et al, 2011; Fredriksen-Goldsen, Kim, Bryan, Shiu, & Emlet, 2017; Kim, Jen, & Fredriksen-Goldsen, 2017; Lam & Perales, 2017).…”

Section: Discussionmentioning

confidence: 99%

Coping strategies used by LGB older adults in facing and anticipating health challenges: A narrative analysis

Seelman

Lewinson

Engleman

et al. 2017

Journal of Gay & Lesbian Social Services

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Given that lesbian, gay, and bisexual (LGB) older adults face notable health disparities compared to their heterosexual counterparts, there is a need for understanding how LGB adults cope with health challenges in late life. The current study analyzes narratives from nine LGB adults age 65 and older living in an urban area in the Southeast U.S. Participants spoke of coping strategies related to health promotion behaviors, shifting perspectives of health and body, trusting in spirituality for comfort, and accepting the end of life. We discuss implications for social services professionals who work with older LGB adults and for future research.

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“…Prior research suggests that a minority race/ethnicity is associated with poorer physical health among older LGBT (lesbian, gay, bisexual, and transgender) adults. 47 Multiply marginalized identities may increase overall risk of poor physical health, particularly when coupled with a lack of financial and social resources. Future research should investigate racial/ethnic differences in the associations among aging, alcohol use, and health outcomes among SMW.…”

Section: Discussionmentioning

confidence: 99%

Alcohol Use, Age, and Self-Rated Mental and Physical Health in a Community Sample of Lesbian and Bisexual Women

et al. 2017

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Race/Ethnicity and Health-Related Quality of Life Among LGBT Older Adults

Cited by 93 publications

References 38 publications

Disparities in food insecurity at the intersection of race and sexual orientation: A population-based study of adult women in the United States

Disparities in food insecurity at the intersection of race and sexual orientation: A population-based study of adult women in the United States

Coping strategies used by LGB older adults in facing and anticipating health challenges: A narrative analysis

Alcohol Use, Age, and Self-Rated Mental and Physical Health in a Community Sample of Lesbian and Bisexual Women

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