Older LGBT+ health inequalities in the UK: setting a research agenda

Westwood, Sue ORCID: https://orcid.org/0000-0003-3875-9584, Willis, Paul, Fish, Julie, Hafford-Letchfield, Trish ORCID: https://orcid.org/0000-0003-0105-0678, Semlyen, Joanna, King, Andrew, Beach, Brian, Almack, Kathryn, Kneale, Dylan ORCID: https://orcid.org/0000-0002-7016-978X, Toze, Michael and Becares, Laia (2020) Older LGBT+ health inequalities in the UK: setting a research agenda. Journal of Epidemiology & Community Health . ISSN 0143-005X (Published online first) (doi:10.1136/jech-2019-213068)

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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.

Item Type: Article
Keywords (uncontrolled): Research agenda, ageing, health inequalities, social inequalities
Research Areas: A. > School of Health and Education > Mental Health, Social Work and Interprofessional Learning
Item ID: 29169
Notes on copyright: © Authors (or their employer(s)) 2020. No commercial reuse. See rights and permissions. Published by BMJ.
This article has been accepted for publication in Journal of Epidemiology and Community Health (JEC) 2020 following peer review, and the Version of Record can be accessed online at https://doi.org/10.1136/jech-2019-213068.
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Depositing User: Jisc Publications Router
Date Deposited: 18 Mar 2020 15:31
Last Modified: 01 Apr 2020 14:39
URI: https://eprints.mdx.ac.uk/id/eprint/29169

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