Older LGBT+ Health Inequalities in the United Kingdom: Setting a Research Agenda

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dc.cclicenceCC-BY-NCen
dc.contributor.authorWestwood, Sue
dc.contributor.authorWillis, Paul
dc.contributor.authorFish, Julie
dc.contributor.authorHafford-Letchfield, Trish
dc.contributor.authorSemlyen, Joanna
dc.contributor.authorKing, Andrew
dc.contributor.authorBeach, Brian
dc.contributor.authorAlmack, Kathryn
dc.contributor.authorKneale, Dylan
dc.contributor.authorToze, Michael
dc.contributor.authorBecares, Lara
dc.date.acceptance2020-02-09
dc.date.accessioned2020-10-20T09:40:49Z
dc.date.available2020-10-20T09:40:49Z
dc.date.issued2020-02-21
dc.descriptionThe file author's final peer reviewed version can be found by following the URI link. The Publisher's final version can be found by following the DOI link.en
dc.description.abstractLesbian, gay, bisexual and trans+a (LGBT+) people report poorer health than the general population and worse experiences of healthcare particularly cancer, palliative/end-of-life, dementia and mental health provision. This is attributable to: a) social inequalities, including ‘minority stress’; b) associated health-risk behaviours (e.g. smoking, excessive drug/alcohol use, obesity); c) loneliness and isolation, affecting physical/mental health and mortality; d) anticipated/experienced discrimination and e) inadequate understandings of needs among healthcare providers. Older LGBT+ people are particularly affected, due to the effects of both cumulative disadvantage and ageing. There is a need for greater and more robust research data to support growing international and national government initiatives aimed at addressing these health inequalities. We identify seven key research strategies: 1) Production of large datasets; 2) Comparative data collection; 3) Addressing diversity and intersectionality among LGBT+ older people; 4) Investigation of healthcare services’ capacity to deliver LGBT+ affirmative healthcare and associated education and training needs; 5) Identification of effective health promotion and/or treatment interventions for older LGBT+ people, and sub-groups within this umbrella category; 6) Development an (older) LGBT+ health equity model; 7) Utilisation of social justice concepts to ensure meaningful, change-orientated data production which will inform and support government policy, health promotion and healthcare interventions.en
dc.exception.reasonavailable on York University repositoryen
dc.funderOther external funder (please detail below)en
dc.funder.otherUniversity of Yorken
dc.identifier.citationWestwood, S., Willis, P., Fish, J., Hafford-Letchfield, T., Semlyen, J., King, A., Beach, B., Almack, K., Kneale, D., Toze, M., Becares, L. (2020) Older LGBT+ Health Inequalities in the United Kingdom: Setting a Research Agenda. Journal Epidemiology and Community Health, 74, pp.408-411.en
dc.identifier.doihttps://doi.org/10.1136/jech-2019-213068
dc.identifier.issn0143-005X
dc.identifier.urihttp://eprints.whiterose.ac.uk/155534/1/MAIN_DOC_JECH_ARTICLE_V3.pdf
dc.identifier.urihttps://dora.dmu.ac.uk/handle/2086/20295
dc.language.isoenen
dc.peerreviewedYesen
dc.projectidN/Aen
dc.publisherBMJen
dc.researchinstituteInstitute of Health, Health Policy and Social Careen
dc.subjectHealth Inequalitiesen
dc.subjectSocial Determinantsen
dc.subjectsexual orientationen
dc.subjectgender identityen
dc.subjectageingen
dc.titleOlder LGBT+ Health Inequalities in the United Kingdom: Setting a Research Agendaen
dc.typeArticleen

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