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Using the 2012–2023 National Health Interview Survey, the study analyzes intersectional health disparities among Hispanic, Black, Asian, and other people of color aged 50+ in the United States. Non-Hispanic White heterosexuals serve as the referent, with models stratified by gender and adjusted for age, education, and income.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/examining-intersectional-role-of-race-ethnicity-and-sexual-orientation-in-health-disparities-among-older-adults/426558/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/examining-intersectional-role-of-race-ethnicity-and-sexual-orientation-in-health-disparities-among-older-adults/426558.png","ImageObject",300,407,{"name":92,"@type":93},"Well Done","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What gap does the study aim to address about LGB older adults?","Question",{"text":112,"@type":113},"It targets the scarcity of empirical evidence on how combined racial and sexual-orientation positions shape health disadvantages among older adults.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What data and reference group were used in the analysis?",{"text":117,"@type":113},"The study used the 2012–2023 National Health Interview Survey and compared groups to non-Hispanic White heterosexuals.",{"name":119,"@type":110,"acceptedAnswer":120},"How did results differ between older women and older men?",{"text":121,"@type":113},"Older women showed joint disparities in cardiovascular disease driven mainly by synergistic effects, while older men showed joint disparities across multiple outcomes including asthma, mental distress, cognitive and vision impairments, limited physical functioning, anxiety, depression, and poor general health.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},426558,1790741170,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},5909892210082,"https://ap-avatar.wpscdn.com/avatar/56001069da27c9f41e8?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789614185077863061","Innovation in Aging, 2025, Vol. 9, No. S2 1015  \nAbstract citation ID: igaf122.3421  \nEXAMINING INTERSECTIONAL ROLE OF RACE,  \nETHNICITY, AND SEXUAL ORIENTATION IN HEALTH  \nDISPARITIES AMONG OLDER ADULTS  \nHyun-Jun Kim1, Hailey Jung1, Austin Oswald2, and Karen Fredriksen-Goldsen1, 1. University of Washington, Seattle, Washington, United States, 2. Dalhousie University, Halifax, Nova Scotia, Canada  \nLesbian, gay, and bisexual (LGB) older adults who are racially/ ethnically minoritized may face heightened health disadvantages due to their combined impact inclusive of the risks due to each social position and any excess risks beyond (i.e., synergistic effect), yet empirical evidence remains scarce. To address this gap, we used the 2012-2023 National Health Interview Survey to examine intersectional health disparities among Hispanic, Black, Asian, and other individuals of color within LGB adults age 50+ in the United States. Using non-Hispanic White heterosexuals as the referent and stratifying by gender, we estimated joint health disparities by sexual orientation and race/ethnicity and tested synergistic effects while adjusting for age, education, and income. Among older women, we observed joint disparities, predominately driven by synergistic effects, in cardiovascular disease for other LGB individuals of color (risk difference [RD] 15.5 percentage points [pp], 95% CI 5.5-25.6) . Among older men, joint disparities, largely driven by synergistic effects, were observed in asthma (6.1 pp, 95% CI 0.0-12.2) and mental distress (16.4 pp, 5.5-27.3) for Hispanic LGB individuals; cognitive (12.7 pp, 3.0-22.4) and vision impairments (3.4 pp, 3.7-23.1) for Black LGB individuals; and limited physical functioning (15.1 pp, 3.2-26.9), anxiety (28.8 pp, 12.8-44.9), depression (24.5 pp, 8.4-40.5), and poor general health (21.9 pp, 8.1-35.7) for other LGB individuals of color. Overall, health disparity patterns in LGB older adults varied across race/ethnicity, lending some support for the synergistic multiple disadvantage hypothesis.  \nThere is a need for future research on intersectionality to identify modifiable mechanisms to eliminate health disparities.","cbCaihh8XDADd4k7","https://ap.wps.com/l/cbCaihh8XDADd4k7","pdf",47174,"English","# Study aim\n## Data source and analytic approach\n# Findings\n## Women\n## Men\n# Implications for future research","[{\"question\":\"What gap does the study aim to address about LGB older adults?\",\"answer\":\"It targets the scarcity of empirical evidence on how combined racial and sexual-orientation positions shape health disadvantages among older adults.\"},{\"question\":\"What data and reference group were used in the analysis?\",\"answer\":\"The study used the 2012–2023 National Health Interview Survey and compared groups to non-Hispanic White heterosexuals.\"},{\"question\":\"How did results differ between older women and older men?\",\"answer\":\"Older women showed joint disparities in cardiovascular disease driven mainly by synergistic effects, while older men showed joint disparities across multiple outcomes including asthma, mental distress, cognitive and vision impairments, limited physical functioning, anxiety, depression, and poor general health.\"}]","Examining Intersectional Role of Race - Ethnicity, and Sexual Orientation in Health Disparities Among Older Adults | PDF",1790640916]