ArticleBMC public health2020
Co-occurring mental illness, drug use, and medical multimorbidity among lesbian, gay, and bisexual middle-aged and older adults in the United States: a nationally representative study.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- Comprehensive systematic review and meta-analysis on physical health conditions in lesbian- and bisexual-identified women compared with heterosexual-identified women.Women's health (London, England)Pooled it
- LGBTQ+ Inclusivity in Neurosurgery: Exploring Physicians' Knowledge, Experience, and Competence.Neurosurgery practice · 2026Article
- Using Queer Theory to Advance Understandings of 'Queer Caregiving' With LGBTQ+ Older Adults.Scandinavian journal of caring sciences · 2026Article
- The Mediating Role of Frailty in Healthcare Utilization Among Sexual and Gender Minorities: A Comparison of Generalist, Specialist, and Mental Health Visits.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2026Article
- Chronic conditions and healthcare cost and utilization among underserved Medicare beneficiaries.PloS one · 2026Article
- Do sexual minority strengths buffer the association between sexual minority stressors and loneliness among midlife and older sexual minority cisgender men?Aging & mental health · 2025Article
- Contextualising Experiences of Co-Occurring Mental Ill-Health and Substance Use Among Trans, Non-Binary, and Gender Diverse Young People: Implications for Tailored Harm Reduction Approaches.Community mental health journal · 2025Article
- Gay affirmative practices among healthcare professionals in Poland and Spain: results of Health Exclusion Research in Europe (HERE) study.Frontiers in public health · 2025Article
- Prevalence, distribution, and inequitable co-occurrence of mental ill-health and substance use among gender and sexuality diverse young people in Australia: epidemiological findings from a population-based cohort study.Social psychiatry and psychiatric epidemiology · 2024Article
- Assessing how frailty and healthcare delays mediate the association between sexual and gender minority status and healthcare utilization in the All of Us Research Program.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Mental ill-health and substance use among sexuality diverse adolescents: The critical role of school climate and teacher self-efficacy.The Australian and New Zealand journal of psychiatry · 2024Article
- Exploring discrimination, social acceptance, and its impact on the psychological well-being of older men who have sex with men: A cross-sectional study.BMC public health · 2024Article
- Substance Use and Misuse among Sexual and Gender Minority Communities Living in Former Soviet Union Countries: A Scoping Review.International journal of sexual health : official journal of the World Association for Sexual Health · 2024Article
- Frailty Among Sexual and Gender Minority Older Adults: The All of Us Database.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- Article
- Differences in Multimorbidity among Cisgender Sexual Minority and Heterosexual Adults: Investigating Differences across Age-Groups.Journal of aging and healthArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundOlder lesbian, gay, and bisexual (LGB) adults are an underserved and understudied population that experience specific health disparities. The intersection of aging and chronic medical disease with a higher risk for substance use and mental illness may place older LGB adults at risk for co-occurring conditions and resulting comorbidity. Understanding multimorbidity among older LGB adults may help inform interventions to reduce disparities in health outcomes.
methodsData come from the 2015 to 2017 National Surveys on Drug Use and Health (n = 25,880). We first determined whether sexual orientation was associated with reporting: past-year drug use, mental illness, and/or 2 or more chronic medical diseases. We then determined whether sexual orientation was associated with reporting co-occurrence of these conditions. This was done using multivariable logistic regression. Analyses were stratified by gender.
resultsCompared to heterosexual men, gay men were at increased odds for reporting 2 or more chronic medical diseases (adjusted odds ratio [aOR] = 2.18, 95% confidence interval [CI] = 1.48, 3.21), and gay (aOR = 1.79, 95% CI = 1.09, 2.93) and bisexual men (aOR = 3.53, 95% CI = 2.03, 6.14) were at increased odds for reporting mental illness. Gay men (aOR = 2.95, 95CI = 1.60, 5.49) and bisexual men (aOR = 2.84, 95% CI = 1.58, 5.08) were at increased odds of reporting co-occurring conditions. Compared to heterosexual women, bisexual women were at increased odds for past-year drug use (aOR = 4.20, 95% CI = 2.55, 6.93), reporting mental illness (aOR = 1.94, 95% CI = 1.03, 3.67), and reporting co-occurring conditions (aOR = 3.25, 95% = 1.60, 6.62).
conclusionsMiddle-aged and older LGB adults in the United States are at high risk for experiencing co-occurring drug use, mental illness, and/or medical multimorbidity. Interventions for older sexual minority populations are needed to reduce disparities.
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