professor julie byles, university of newcastle: factors influencing life for the older glbti person...
DESCRIPTION
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//lgbtiagedcareTRANSCRIPT
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Factors Influencing Health For
The Older GLBTI Person :
A SEEF Perspective
Professor Julie Byles University of Newcastle
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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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0y 5y 10y
ROUTINE DATA
OTHER DATA LINKAGE
NESTED STUDIES
resurvey of selected individuals
recruitment 267,153 people follow-up follow-up
N=267,153 participants across NSW, Australia
courtesy of Professor Emily Banks
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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 …
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Sexual orientation – will people answer this?
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Sexual orientation – comparison groups
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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%)
Women <65 17,319 (95.9%) 237 (1.3%) 504 (2.8%)
65+ 11,859 (96.2%) 61 (0.5%) 413 (3.4%)
‘Other’ includes : bisexual; mainly heterosexual; and ‘I don’t know’
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Proportion without a spouse/partner
%
0
10
20
30
40
50
60
70
<65 years 65+ years <65 years 65+ years
Men Men Women Women
Heterosexual Homosexual
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Current Housing
0% 20% 40% 60% 80% 100%
Heterosexual
Homosexual
Heterosexual
Homosexual
Heterosexual
Homosexual
Heterosexual
Homosexual
<6
5 y
ears
65
+ ye
ars
<6
5 y
ears
65
+ ye
ars
Me
nW
om
en
House Flat/unit/apartment Other
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Household income
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Heterosexual
Homosexual
Heterosexual
Homosexual
Heterosexual
Homosexual
Heterosexual
Homosexual
<6
5 y
ears
65
+ ye
ars
<6
5 y
ears
65
+ ye
ars
Me
nW
om
en
<$20K $20-$49K $50-$79K $80-$119K $120-$149K $150K+
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Smoking status
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Heterosexual
Homosexual
Heterosexual
Homosexual
Heterosexual
Homosexual
Heterosexual
Homosexual
<6
5 y
ears
65
+ ye
ars
<6
5 y
ears
65
+ ye
ars
Me
nW
om
en
Non-smoker Former smoker Current smoker
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Proportion exceeding alcohol consumption guidelines (>2 drinks/day, on average)
%
NOTE : Exceeding guidelines is defined as >2 drinks/day over a week
0
10
20
30
40
50
<65 years 65+ years <65 years 65+ years
Men Men Women Women
Heterosexual Homosexual
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Body Mass Index
0% 20% 40% 60% 80% 100%
Heterosexual
Homosexual
Heterosexual
Homosexual
Heterosexual
Homosexual
Heterosexual
Homosexual
<6
5 y
ears
65
+ ye
ars
<6
5 y
ears
65
+ ye
ars
Me
nW
om
en
Underweight Healthy Overweight Obese
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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
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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%)
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Cancer
Cancer
Men, <65 Men, 65+ Women, <65 Women, 65+
Heterosexual
(n=11851)
Homosexual
(n=262)
Heterosexual
(n=13468)
Homosexual
(n=137)
Heterosexual
(n=17319)
Homosexual
(n=237)
Heterosexual
(n=11859)
Homosexual
(n=61)
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
Cervical - - - - 1.2 2.1 0.7 1.6
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
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Depression, anxiety & K10 score
Men, <65 Men, 65+ Women, <65 Women, 65+
Heterosexual
(n=11851)
Homosexual
(n=262)
Heterosexual
(n=13468)
Homosexual
(n=137)
Heterosexual
(n=17319)
Homosexual
(n=237)
Heterosexual
(n=11859)
Homosexual
(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
Anxiety
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
K-10 score
High (22+) 6.5 10.3 4.7 8.3 7.3 7.3 5.2 1.7
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Health checks and screening
Men, <65 Men, 65+ Women, <65 Women, 65+
Heterosexual
(n=11851)
Homosexual
(n=262)
Heterosexual
(n=13468)
Homosexual
(n=137)
Heterosexual
(n=17319)
Homosexual
(n=237)
Heterosexual
(n=11859)
Homosexual
(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
Advice
Exercise more 25.1 24.5 21.4 29.7 21.7 25.0 18.4 10.0
Quit smoking (current smokers only)
71.0 67.9 70.8 83.3 66.6 69.2 68.2 100.0
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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
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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