ArticleClinics (Sao Paulo, Brazil)2023
Transforming the invisible into the visible: disparities in the access to health in LGBT+ older people.
Article in Clinics (Sao Paulo, Brazil), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Perspectives and Experiences of Older LGBTI+ Adults About Long-Term Care: A Qualitative Systematic Review and Meta-Synthesis.The Gerontologist · 2025Pooled it
- Conceptual reflection on affirmative nursing as a professional field for the care of older gay men.Revista da Escola de Enfermagem da U S P · 2026Article
- Breast Cancer Disparities in the LGBTQ + Community: How to Move Towards Inclusive Care from Screening to Survivorship.Current breast cancer reports · 2025Article
- Enhancing global cancer care for sexual and gender minority populations: regional perspectives and global implications.The Lancet. Global health · 2025Review
- Mapping the Dynamic Complexity of Sexual and Gender Minority Healthcare Disparities: A Systems Thinking Approach.Healthcare (Basel, Switzerland) · 2024Article
- Frailty over the rainbow: a cross-sectional study of LGBT+ adults aged over 50 years.Einstein (Sao Paulo, Brazil) · 2024Article
- Do we urologists know enough about gender minorities with prostate cancer?International braz j urol : official journal of the Brazilian Society of UrologyArticle
- Access of the LGBTQIA+ Population to Brazilian Public Primary Health Care Services: A Scoping Review.Public health nursing (Boston, Mass.)Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare variables of access to healthcare between the LGBT+ population aged 50 and over and those non-LGBT+.
methodsA cross-sectional study was carried out in Brazil through a confidential online questionnaire. The use of the health system was characterized by the number of preventive tests performed and measured by the PCATool-Brasil scale (a 10-point scale in which higher scores were associated with better assistance in healthcare). The association between being LGBT+ and access to health was analyzed in Poisson regression models.
results6693 participants (1332 LGBT+ and 5361 non-LGBT+) with a median age of 60 years were included. In the univariate analysis, it was observed not only lower scores on the PCATool scale (5.13 against 5.82, p < 0.001), but a greater proportion of individuals among those classified with the worst quintile of access to healthcare (< 4 points), 31% against 18% (p < 0.001). Being LGBT+ was an independent factor associated with worse access to health (PR = 2.5, 95% CI 2.04‒3.06). The rate of screening cancer, for breast, colon, and cervical cancer was also found to be lower in the LGBT+ population.
conclusionHealthcare access and health service experiences were worse in the LGBT+ group than in their non-LGBT peers. Inclusive and effective healthcare public policies are essential to promote healthy aging for all.
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