Health disparities among lesbian, gay, and bisexual people in the Canadian Longitudinal Study on Aging: A 6-year follow-up.

IF 2 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Canadian Journal of Public Health-Revue Canadienne De Sante Publique Pub Date : 2026-08-01 Epub Date: 2025-12-01 DOI:10.17269/s41997-025-01130-5

Nicole G Hammond, Alexandra Grady, Arne Stinchcombe

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引用次数: 0

Abstract

Objectives: Cross-sectionally measured health disparities are well documented among sexual minority (lesbian, gay, bisexual) Canadian adults, yet the timing of these disparities is not understood, especially in harder-to-reach older adult populations. We estimated the prevalence and incidence of health and health-related outcomes over 6 years of follow-up in an older sample of Canadian adults.

Methods: Our analysis used data from the Canadian Longitudinal Study on Aging (CLSA), a prospective cohort of adults aged 45-85 (baseline, 2011-2015), with follow-up over 6 years (2015-2021; n = 45,079). Respondents who self-identified as lesbian, gay, bisexual, or another sexual minority identity at either baseline or first follow-up were considered LGB+. Study outcomes included physical health, mental health, health care service use, negative health behaviours, and other health-related behaviours (e.g., rentership). We computed adjusted prevalence ratios (PRs) and relative risks (RRs) stratified by sex (female/male) using modified Poisson regression with robust error variance.

Findings: Older sexual minority adults had a greater prevalence of and were at elevated risk of new-onset mental health diagnoses (e.g., depression: RR_F = 2.03, 95% CI: 1.39, 2.96; RR_M = 2.15, 95% CI: 1.50, 3.08). Older sexual minority adults also initiated psychological services more than older heterosexual adults (e.g., RR_F = 1.43, 95% CI: 1.10, 1.85; RR_M = 1.39, 95% CI: 1.05, 1.83). There was evidence of other prevalence differences between men and women, but with no difference in longitudinal risk (e.g., memory problems: PR_F = 1.78, 95% CI: 1.24, 2.55; RR_F = 1.70, 95% CI: 0.97, 2.95).

Conclusion: Older sexual minority Canadians face disproportionate health challenges, particularly in mental health. Our findings demonstrate the importance of inclusive and affirming gerontological care in supporting the healthy aging of sexual minority Canadians.

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加拿大纵向衰老研究中女同性恋、男同性恋和双性恋人群的健康差异：6年随访

目的：横断面测量的健康差异在性少数群体（女同性恋、男同性恋、双性恋）加拿大成年人中有很好的记录，但这些差异的时间尚不清楚，特别是在难以接触的老年人群中。我们估计了在6年的加拿大成年老年样本中健康和健康相关结果的患病率和发生率。方法：我们的分析使用来自加拿大老龄化纵向研究（CLSA）的数据，这是一个前瞻性队列，年龄在45-85岁之间（基线，2011-2015），随访超过6年（2015-2021;n = 45,079）。在基线或首次随访时自我认同为女同性恋、男同性恋、双性恋或其他性少数群体的受访者被视为LGB+。研究结果包括身体健康、心理健康、卫生保健服务使用、负面健康行为和其他与健康相关的行为（如租房）。我们使用修正泊松回归计算校正患病率比（pr）和相对危险度（rr），按性别（女性/男性）分层。研究结果：年龄较大的性少数成年人有更高的患病率和更高的新发精神健康诊断风险（例如，抑郁症：RRM = 2.03, 95% CI: 1.39, 2.96; RRM = 2.15, 95% CI: 1.50, 3.08）。年龄较大的性少数成年人也比年龄较大的异性恋成年人更主动地开展心理服务（例如，RRF = 1.43, 95% CI: 1.10, 1.85; RRM = 1.39, 95% CI: 1.05, 1.83）。有证据表明，男性和女性之间存在其他患病率差异，但在纵向风险方面没有差异（例如，记忆问题：PRF = 1.78, 95% CI: 1.24, 2.55; RRF = 1.70, 95% CI: 0.97, 2.95）。结论：加拿大老年性少数群体面临着不成比例的健康挑战，特别是在心理健康方面。我们的研究结果表明，包容性和肯定老年护理在支持加拿大性少数群体健康老龄化方面的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Public Health-Revue Canadienne De Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.10

自引率

4.70%

发文量

128

期刊介绍： The Canadian Journal of Public Health is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities. CJPH publishes original research and scholarly articles submitted in either English or French that are relevant to population and public health. CJPH is an independent, peer-reviewed journal owned by the Canadian Public Health Association and published by Springer. Énoncé de mission La Revue canadienne de santé publique se consacre à promouvoir l’excellence dans la recherche, les travaux d’érudition, les politiques et les pratiques de santé publique. Son but est de faire progresser la recherche et les pratiques de santé publique au Canada et dans le monde, contribuant ainsi à l’amélioration de la santé des populations et à la réduction des inégalités de santé. La RCSP publie des articles savants et des travaux inédits, soumis en anglais ou en français, qui sont d’intérêt pour la santé publique et des populations. La RCSP est une revue indépendante avec comité de lecture, propriété de l’Association canadienne de santé publique et publiée par Springer.