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    Caregiving Status and Health of Heterosexual, Sexual Minority, and Transgender Adults: Results From Select U.S. Regions in the Behavioral Risk Factor Surveillance System 2015 and 2016

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    Authors
    Boehmer, Ulrike
    Clark, Melissa A.
    Lord, Emily M.
    Fredman, Lisa
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2018-09-12
    Keywords
    Caregiving—informal
    Lesbian
    Gay
    Bisexual
    Transgender
    Health
    adult
    bisexuality
    caregivers
    gender identity
    heterosexuality
    homosexuality
    female homosexuality
    mental health
    gender
    physical health
    sexual orientation
    health outcomes
    behavioral risk factor surveillance system
    lgbt persons
    transgender persons
    self-report
    secondary data analysis
    Epidemiology
    Gender, Race, Sexuality, and Ethnicity in Communication
    Health Services Administration
    Health Services Research
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    Link to Full Text
    https://doi.org/10.1093/geront/gny109
    Abstract
    Background and Objectives: Insufficient research attention has been paid to the diversity of informal caregivers, including sexual and gender minority caregivers. This study examined health effects of caregiving separately from sexual orientation or gender identity status, while stratifying by gender among cisgender adults. We hypothesized that compared with heterosexual cisgender noncaregivers, heterosexual caregivers and lesbian/gay/bisexual (LGB), and transgender (T) noncaregivers would report poorer health outcomes (i.e., self-reported health, and poor mental health days and poor physical health days), and LGBT caregivers would report the worst health outcomes. Research Design and Methods: This is a secondary data analysis of the 2015 and 2016 Behavioral Risk Factor Surveillance System data from 19 U.S. states. Results: After adjusting for covariates and stratifying by gender among the cisgender sample, heterosexual caregivers, LGB noncaregivers and LGB caregivers had significantly higher odds of self-reported fair or poor health (adjusted odds ratios [aORs] 1.3-2.0 for women and 1.2 for men), poor physical health days (aORs 1.2-2.8 for women and 1.3-2.8 for men), and poor mental health days (aORs 1.4-4.7 for women and 1.5-5.6 for men) compared with heterosexual noncaregivers (reference group). By contrast, transgender caregivers did not have significantly poorer health than cisgender noncaregivers. Discussion and Implications: LGB caregivers reported the worst health compared with other groups on multiple measures, signifying they are an at-risk population. These results suggest the necessity to develop LGB appropriate services and programs to prevent poor health in LGB caregivers. Existing policies should also be inclusive of LGBT individuals who are caregivers.
    Source

    Gerontologist. 2018 Sep 12. pii: 5095701. doi: 10.1093/geront/gny109. [Epub ahead of print] Link to article on publisher's site

    DOI
    10.1093/geront/gny109
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46760
    PubMed ID
    30215703
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    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1093/geront/gny109
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    Population and Quantitative Health Sciences Publications

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