Factors Influencing Health For
The Older GLBTI Person :
A SEEF Perspective
Professor Julie Byles
University of Newcastle
Research Collaborators
• Professor Julie Byles (University of Newcastle; SEEF Liaison)
• Peta Forder (University of Newcas...
N=267,153 participants
across NSW, Australia
0y

5y

recruitment 267,153 people

10y

follow-up

follow-up

ROUTINE DATA

...
The SEEF substudy
• SEEF : the Social, Economic and Environmental Factors
that influence the health of Australians in mid-...
Sexual orientation – will people answer this?
Sexual orientation – comparison groups
Sexual orientation
Sex

Age

Heterosexual

Homosexual

Other

Men

<65

11,851 (94.5%)

262 (2.1%)

433 (3.5%)

65+

13,46...
Proportion without a spouse/partner
70
60
50

40
%

30
20
10
0

<65 years

65+ years

<65 years

65+ years

Men

Men

Wome...
Homosexual

Heterosexual

Homosexual

Heterosexual

Homosexual

Heterosexual

<65 years

Men

65+ years

<65 years

Women
...
Homosexual

Heterosexual

Homosexual

Heterosexual

Homosexual

Heterosexual

<65 years

Men

65+ years

<65 years

Women
...
Homosexual

Heterosexual

Homosexual

Heterosexual

Homosexual

Heterosexual

<65 years

Men

65+ years

<65 years

Women
...
Proportion exceeding alcohol consumption guidelines
(>2 drinks/day, on average)
50
40
% 30

20
10
0
<65 years

65+ years

...
Homosexual

Heterosexual

Homosexual

Heterosexual

Homosexual

Heterosexual

<65 years

Men

65+ years

<65 years

Women
...
General health
• Similar in terms of
– Self-rated health (overall, quality of life, vision,
hearing & memory)
– Requiring ...
Health – chronic conditions
• Similar for some conditions
– high blood pressure,
– skin cancer,
– melanoma
– diabetes,
– t...
Cancer
Men, <65

Men, 65+

Women, <65

Women, 65+

Heterosexual Homosexual Heterosexual Homosexual Heterosexual Homosexual...
Depression, anxiety & K10 score
Men, <65

Men, 65+

Women, <65

Women, 65+

Heterosexual Homosexual Heterosexual Homosexua...
Health checks and screening
Men, <65

Men, 65+

Women, <65

Women, 65+

Heterosexual Homosexual Heterosexual Homosexual He...
Conclusion
• Different patterns, according to age & gender
• Demographics and SES – more likely to be single, live in a
fl...
Research Collaborators
• Professor Julie Byles (University of Newcastle; SEEF Liaison)
• Peta Forder (University of Newcas...
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Professor Julie Byles, University of Newcastle: Factors Influencing Life for the Older GLBTI Person : A SEEF perspective

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Professor Julie Byles, Director, Research Centre for Gender, Health & Ageing (RCGHA) University of Newcastle delivered this presentation at the 2013 LGBTI Aged Care Forum. The two day event offers a platform for discussion on national policy issues, mental and physical health and implementing sensitive quality care and service delivery.

The forum brings together LGBTI community leaders plus senior researchers on LGBTI issues in the aged and health care sectors, to share perspectives on good practice insights for real needs as well as strategies to build community and sector capacity. For more information about the event, please visit the conference website: http://www.informa.com.au//lgbtiagedcare

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Professor Julie Byles, University of Newcastle: Factors Influencing Life for the Older GLBTI Person : A SEEF perspective

  1. 1. Factors Influencing Health For The Older GLBTI Person : A SEEF Perspective Professor Julie Byles University of Newcastle
  2. 2. Research Collaborators • Professor Julie Byles (University of Newcastle; SEEF Liaison) • Peta Forder (University of Newcastle) • Professor Andrew Grulich (The Kirby Institute, UNSW) • A.Professor Garrett Prestage (The Kirby Institute, UNSW) • Alan Brotherton (ACON) • Diana Bernard (ACON) • Adrian Bauman & the SEEF Investigators
  3. 3. N=267,153 participants across NSW, Australia 0y 5y recruitment 267,153 people 10y follow-up follow-up ROUTINE DATA OTHER DATA LINKAGE resurvey of selected individuals NESTED STUDIES courtesy of Professor Emily Banks
  4. 4. The SEEF substudy • SEEF : the Social, Economic and Environmental Factors that influence the health of Australians in mid-later life – Information from this project will outline the most necessary areas in which programs and policies should be directed to aid in improving the health of disadvantaged Australians • A substudy of the 45 & Up Study – The first 100,000 people recruited to the 45 & Up Study were invited to participate in the SEEF study – SEEF sample size n=60,404 participants (60.4% response) • Questionnaire included a question on sexual orientation …
  5. 5. Sexual orientation – will people answer this?
  6. 6. Sexual orientation – comparison groups
  7. 7. Sexual orientation Sex Age Heterosexual Homosexual Other Men <65 11,851 (94.5%) 262 (2.1%) 433 (3.5%) 65+ 13,468 (94.8%) 137 (1.0%) 608 (4.3%) <65 17,319 (95.9%) 237 (1.3%) 504 (2.8%) 65+ 11,859 (96.2%) 61 (0.5%) 413 (3.4%) Women ‘Other’ includes : bisexual; mainly heterosexual; and ‘I don’t know’
  8. 8. Proportion without a spouse/partner 70 60 50 40 % 30 20 10 0 <65 years 65+ years <65 years 65+ years Men Men Women Women Heterosexual Homosexual
  9. 9. Homosexual Heterosexual Homosexual Heterosexual Homosexual Heterosexual <65 years Men 65+ years <65 years Women 65+ years Current Housing Homosexual Heterosexual 0% 20% House 40% 60% Flat/unit/apartment 80% Other 100%
  10. 10. Homosexual Heterosexual Homosexual Heterosexual Homosexual Heterosexual <65 years Men 65+ years <65 years Women 65+ years Household income Homosexual Heterosexual 0% 10% 20% <$20K $20-$49K 30% 40% $50-$79K 50% $80-$119K 60% 70% $120-$149K 80% $150K+ 90% 100%
  11. 11. Homosexual Heterosexual Homosexual Heterosexual Homosexual Heterosexual <65 years Men 65+ years <65 years Women 65+ years Smoking status Homosexual Heterosexual 0% 10% 20% 30% Non-smoker 40% Former smoker 50% 60% Current smoker 70% 80% 90% 100%
  12. 12. Proportion exceeding alcohol consumption guidelines (>2 drinks/day, on average) 50 40 % 30 20 10 0 <65 years 65+ years <65 years 65+ years Men Men Women Women Heterosexual Homosexual NOTE : Exceeding guidelines is defined as >2 drinks/day over a week
  13. 13. Homosexual Heterosexual Homosexual Heterosexual Homosexual Heterosexual <65 years Men 65+ years <65 years Women 65+ years Body Mass Index Homosexual Heterosexual 0% 20% 40% Underweight Healthy 60% Overweight Obese 80% 100%
  14. 14. General health • Similar in terms of – Self-rated health (overall, quality of life, vision, hearing & memory) – Requiring assistance with daily tasks (due to illness or disability, self-care activities, physical movement, or communication activities) – Falls in the past 12 months – Fractures in the past 12 months – Physical functioning (SF36-PF subscale) – Pain in the last 4 weeks
  15. 15. Health – chronic conditions • Similar for some conditions – high blood pressure, – skin cancer, – melanoma – diabetes, – thrombosis, – Parkinson’s disease • HIV or AIDS (text search in “other chronic conditions”) – Heterosexual 2 cases (0.0%) – Homosexual 23 cases (3.3%)
  16. 16. Cancer Men, <65 Men, 65+ Women, <65 Women, 65+ Heterosexual Homosexual Heterosexual Homosexual Heterosexual Homosexual Heterosexual Homosexual (n=11851) (n=262) (n=13468) (n=137) (n=17319) (n=237) (n=11859) (n=61) Cancer Breast 0.2 0.0 0.3 0.0 4.9 5.1 8.7 16.4 Prostate 3.1 1.5 13.6 11.0 - - - - Lung 0.2 0.0 0.5 0.0 0.1 0.4 0.4 0.0 Bowel 0.9 0.8 3.7 5.1 0.6 2.1 2.7 3.3 Anal 0.0 0.8 0.0 0.7 0.0 0.0 0.0 0.0 - - - - 1.2 2.1 0.7 1.6 Cervical NOTE : Anal cancer – only 9 cases reported (5 heterosexual women, 1 heterosexual man, 3 homosexual men) Cervical cancer – 296 cases heterosexual women, 6 cases homosexual women
  17. 17. Depression, anxiety & K10 score Men, <65 Men, 65+ Women, <65 Women, 65+ Heterosexual Homosexual Heterosexual Homosexual Heterosexual Homosexual Heterosexual Homosexual (n=11851) (n=262) (n=13468) (n=137) (n=17319) (n=237) (n=11859) (n=61) Depression Diagnosed 14.6 26.7 8.8 16.1 19.7 31.7 13.6 16.4 Treated 6.1 11.8 3.9 9.5 8.6 12.7 6.5 3.3 Diagnosed 9.4 17.6 6.0 11.0 14.2 17.3 11.1 9.8 Treated 3.8 6.9 2.5 6.6 5.8 6.3 4.8 3.3 6.5 10.3 4.7 8.3 7.3 7.3 5.2 1.7 Anxiety K-10 score High (22+)
  18. 18. Health checks and screening Men, <65 Men, 65+ Women, <65 Women, 65+ Heterosexual Homosexual Heterosexual Homosexual Heterosexual Homosexual Heterosexual Homosexual (n=11851) (n=262) (n=13468) (n=137) (n=17319) (n=237) (n=11859) (n=61) Health checks Blood pressure 90.3 90.4 97.3 98.5 89.2 87.3 96.5 93.4 Cholesterol 76.9 83.5 87.3 88.2 69.6 68.5 81.3 80.3 Skin cancer 52.7 56.2 66.7 65.4 48.6 43.6 59.6 51.7 Sugar levels 73.8 74.3 84.0 86.4 65.2 61.6 77.3 73.8 Bowel cancer 66.3 67.4 71.2 71.8 59.8 57.7 66.8 73.8 Exercise more 25.1 24.5 21.4 29.7 21.7 25.0 18.4 10.0 Quit smoking 71.0 67.9 70.8 83.3 66.6 69.2 68.2 100.0 Advice (current smokers only)
  19. 19. Conclusion • Different patterns, according to age & gender • Demographics and SES – more likely to be single, live in a flat/unit/apartment, with differences in average household incomes • Different health risks regarding smoking, alcohol consumption and BMI • For the most part, there are similar general health patterns, including general health checks and screening • Some differences in selected cancers, HIV, depression and anxiety
  20. 20. Research Collaborators • Professor Julie Byles (University of Newcastle; SEEF Liaison) • Peta Forder (University of Newcastle) • Professor Andrew Grulich (The Kirby Institute, UNSW) • A.Professor Garrett Prestage (The Kirby Institute, UNSW) • Alan Brotherton (ACON) • Diana Bernard (ACON) • Adrian Bauman & the SEEF Investigators
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