Older LGBT+ health inequalities in the UK: setting a research agenda

Sue Westwood, Paul Willis, Julie Fish, Trish Hafford-Letchfield, Joanna Semlyen, Andrew King, Beach Brian, Kathryn Almack, Dylan Kneale, Michael Toze, Laia Becares

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31 Citations (Scopus)
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Lesbian, gay, bisexual and trans+ (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 (eg, 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 data sets; (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 subgroups within this umbrella category; (6) Development of 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.
Original languageEnglish
Pages (from-to)408-411
Number of pages4
JournalJournal of Epidemiology and Community Health
Issue number5
Early online date21 Feb 2020
Publication statusPublished - 1 May 2020


  • LGBT+
  • ageing
  • health inequalities
  • research agenda
  • UK


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