Evidence map›Paper›PMID 36048185›Full record

ArticleThe Gerontologist2023

The Role of Contextual Factors in the Health Care Utilization of Aging LGBT Adults.

Krystal R Kittle, Kathrin Boerner, Kyungmin Kim, Karen I Fredriksen-Goldsen

Open access · greenAbstract read
In one paragraph

Article in The Gerontologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. An especially hidden population: sexual and gender minority dementia caregivers.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  6. Article
  7. "I Want to Grow Older With Dignity": Older LGBTQ+ Canadian Adults' Perceptions and Experiences of Aging.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    Article
  8. Frailty Among Sexual and Gender Minority Older Adults: The All of Us Database.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Article
  9. Article
  10. Article
  11. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Krystal R KittleDepartment of Social and Behavioral Health Program, School of Public Health, University of Nevada, Las Vegas, Nevada, USA.ORCID 0000-0001-5691-2760
Kathrin BoernerDepartment of Gerontology, University of Massachusetts, Boston, Massachusetts, USA.
Kyungmin KimDepartment of Child Development and Family Studies, Research Institute of Human Ecology, Seoul National University, Seoul, Republic of Korea.ORCID 0000-0002-0135-4367
Karen I Fredriksen-GoldsenSchool of Social Work, University of Washington, Seattle, Washington,USA.
Seoul National University · KRUniversity of Massachusetts Boston · USUniversity of Nevada, Las Vegas · USUniversity of Washington · US

Funding

Social and Health Behaviors, and the Mediating Role of Treatment Engagement in Predicting Health Outcomes of Older Adults Living with HIVR01AG026526 · NIA · UNIVERSITY OF WASHINGTON · PI FREDRIKSEN-GOLDSEN, KAREN ILENE · 2009 to 2023
$7.5M
NIA NIH HHS R01 AG026526
6 · The paper itself

Abstract

BACKGROUND AND

objectivesResearch suggests lesbian, gay, bisexual, and transgender (LGBT) populations have unique health care challenges. The purpose of this study was to understand contextual factors, including minority stress and social resources, associated with the health care utilization of LGBT middle-aged and older adults. RESEARCH DESIGN AND

methodsUsing data from the Caring and Aging With Pride: National Health, Aging, and Sexuality/Gender Study (N = 2,560), multiple logistic regression investigated associations between minority stress (i.e., internalized stigma and LGBT identity disclosure) and health care utilization (i.e., health screenings, emergency room use, routine checkups, and regular provider). We also examined the moderating effect of social resources (i.e., social network size, social support, and LGBT community belonging) in these associations.

resultsInternalized stigma was negatively associated with having a routine checkup in the previous year. LGBT identity disclosure was positively associated with having a health screening within the past 3 years. Social support moderated the association between LGBT identity disclosure and health screenings. DISCUSSION AND IMPLICATIONS: Health and human service professionals and their clients should be educated about the ways that LGBT identity disclosure can affect health care utilization. Providers should consistently assess the social support of their aging LGBT clients and inform them about the potential risk of low social support in health care utilization.

Indexed as

Sexual and Gender MinoritiesTransgender PersonsAgedAgingDelivery of Health CareFemaleHumansMaleMiddle AgedPatient Acceptance of Health CareCommunity belongingInternalized stigmaLGBT identity disclosureSocial networkSocial support

Identifiers

PMID36048185
PMCPMC10167762
OpenAlexW4294001763

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.