Sexual Orientation and Psychosocial Factors in Terms of Loneliness and Subjective Well-Being in Later Life

被引:11
作者
Buczak-Stec, Elzbieta [1 ]
Koenig, Hans-Helmut [1 ]
Hajek, Andre [1 ]
机构
[1] Univ Med Ctr Hamburg Eppendorf, Hamburg Ctr Hlth Econ, Dept Hlth Econ & Hlth Serv Res, Martinistr 52, D-20246 Hamburg, Germany
关键词
LGBT; Life satisfaction; Loneliness; Sexual minorities; Subjective well-being; MENTAL-HEALTH; MINORITY STRESS; BISEXUAL ADULTS; SOCIAL LONELINESS; GAY; SATISFACTION; CONSEQUENCES; DISPARITIES; PREVALENCE;
D O I
10.1093/geront/gnac088
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Background and Objectives The aim of our study was to fill the gap in knowledge regarding the association between sexual orientation and psychosocial outcomes (loneliness and subjective well-being) based on nationally representative samples. Research Design and Methods Cross-sectional data collected in 2017 were taken from a nationally representative sample of individuals in the second half of life (>40 years) in Germany (n = 4,785, average age 66.4 years, standard deviation [SD]: 10.5 years). Outcomes were assessed using well-established tools (life satisfaction: Satisfaction with Life Scale; positive and negative affect: Positive and Negative Affect Schedule; loneliness: De Jong Gierveld Loneliness Scale). Sexual orientation was dichotomized (heterosexual; sexual minorities including gay/lesbian, bisexual, and other). Analyses were adjusted for socioeconomic factors, lifestyle-related factors, and health-related factors. Results In total, around 7.8% of respondents belonged to sexual minorities. Adjusted for various several socioeconomic, lifestyle-related and health-related covariates, linear regressions showed that sexual minority older adults reported higher loneliness scores (beta = 0.07, p < .05), whereas sexual orientation was not associated with subjective well-being (life satisfaction, as well as positive and negative affect). Furthermore, our analysis showed that gender, age, marital status, and depressive symptoms were consistently associated with loneliness and subjective well-being. Discussion and Implications In accordance with minority stress theory, our study showed that sexual minority older adults report higher loneliness scores. This finding is important as loneliness has become widely acknowledged as a new geriatric giant, which could increase, for example, the risk of morbidity and mortality. Moreover, reducing loneliness is important for successful aging.
引用
收藏
页码:338 / 349
页数:12
相关论文
共 58 条
[1]  
[Anonymous], INDICATORS MAPS SPAT
[2]   The contribution of social isolation and loneliness to sleep disturbances among older adults: a systematic review [J].
Azizi-Zeinalhajlou, Akbar ;
Mirghafourvand, Mojgan ;
Nadrian, Haidar ;
Sis, Siros Samei ;
Matlabi, Hossein .
SLEEP AND BIOLOGICAL RHYTHMS, 2022, 20 (02) :153-163
[3]   Negative Social Experiences Mediate the Relationship between Sexual Orientation and Mental Health [J].
Barry, Caitlin ;
Speed, David ;
Best, Lisa .
JOURNAL OF HOMOSEXUALITY, 2022, 69 (02) :277-299
[4]   Trajectories of Depressive Symptomatology and Loneliness in Older Adult Sexual Minorities and Heterosexual Groups [J].
Beam, Christopher R. ;
Collins, Emma M. .
CLINICAL GERONTOLOGIST, 2019, 42 (02) :172-184
[5]   Minority stress factors as mediators of sexual orientation disparities in mental health treatment: a longitudinal population-based study [J].
Branstrom, Richard .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2017, 71 (05) :446-452
[6]   Planning to move into a nursing home in old age: does sexual orientation matter? [J].
Buczak-Stec, Elzbieta ;
Koenig, Hans-Helmut ;
Hajek, Andre .
AGE AND AGEING, 2021, 50 (03) :974-979
[7]   Sexual satisfaction of middle-aged and older adults: longitudinal findings from a nationally representative sample [J].
Buczak-Stec, Elzbieta ;
Koenig, Hans-Helmut ;
Hajek, Andre .
AGE AND AGEING, 2021, 50 (02) :559-564
[8]   The Proportion of Sexual Minorities (LGB) Among Community-Dwelling Older Individuals in Germany and the Potential Association Between Sexual Orientation and Depressive Symptoms [J].
Buczak-Stec, Elzbieta ;
Koenig, Hans-Helmut ;
Riedel-Heller, Steffi G. ;
Hajek, Andre .
PSYCHIATRISCHE PRAXIS, 2021, 48 (02) :92-98
[9]   The link between sexual satisfaction and subjective well-being: a longitudinal perspective based on the German Ageing Survey [J].
Buczak-Stec, Elzbieta ;
Koenig, Hans-Helmut ;
Hajek, Andre .
QUALITY OF LIFE RESEARCH, 2019, 28 (11) :3025-3035
[10]   Prevalence of mental disorders, psychological distress, and mental health services use among lesbian, gay, and bisexual adults in the United States [J].
Cochran, SD ;
Sullivan, JG ;
Mays, VM .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2003, 71 (01) :53-61