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Medical Issues Affecting Older Gay and Bisexual Men

Michael Danielewicz1

  • 1Pride at the Jefferson Center for Healthy Aging, Division of Geriatric Medicine and Palliative Care, Department of Family and Community Medicine, Thomas Jefferson University, 1015 Walnut Street, Suite 401, Philadelphia, PA 19147, USA.

Clinics in Geriatric Medicine
|March 23, 2024
PubMed

Insights

Older gay and bisexual men face significant health disparities and unique challenges. Healthcare providers must offer inclusive, affirming care to address their specific needs and reduce stigma.

Area of Science:

  • Geriatric Medicine
  • Public Health
  • LGBTQ+ Health

Background:

  • Older gay and bisexual men are diverse, sizable populations facing discrimination and stigma.
  • These men report worse health outcomes, higher substance use, and increased HIV rates compared to heterosexual men.
  • Unique healthcare needs exist in mental health, sexual health, and cancer screenings.

Purpose of the Study:

  • To highlight the unique health needs and risks of older gay and bisexual men.
  • To emphasize the importance of inclusive and affirming care in geriatric medicine.
  • To encourage healthcare providers to educate themselves on these specific patient populations.

Main Methods:

  • Literature review on health disparities in older gay and bisexual men.
  • Analysis of health behaviors and outcomes in this demographic.
  • Examination of barriers and facilitators to inclusive healthcare.

Main Results:

  • Older gay and bisexual men experience significant health disparities.
  • Discrimination and stigma negatively impact their health and healthcare access.
  • Specific needs in mental, sexual, and cancer screening health require tailored approaches.

Conclusions:

  • Geriatric medicine physicians and providers must recognize and address the unique needs of older gay and bisexual men.
  • Education on specific risks and inclusive practices is crucial for improving health outcomes.
  • Affirming care can mitigate the negative effects of stigma and discrimination.

Keywords:
BisexualEquityGayInclusionLGBTQIA+MSMOlder

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