Role of Patient-Provider Relationship in Overall Health and Well-being of Older LGBTQ Adults

dc.creatorHwang, Jiminen_US
dc.creatorNeelamegam, Malineeen_US
dc.creatorNhpang, RoiSanen_US
dc.description.abstractPurpose: LGBTQ aging encompasses the experiences and challenges encountered by lesbian, gay, bisexual, transgender, and queer individuals as they progress through life. LGBTQ individuals face unique obstacles related to their sexual orientation, gender identity, and the historical context in which they have lived. To effectively meet the specific needs of LGBTQ older adults, it's crucial to offer culturally sensitive healthcare and social support within nurturing healthcare communities. We aim to explore how the doctor-patient relationship impacts the overall well-being of LGBTQ seniors. Methods: A secondary analysis of the AARP survey titled "Maintaining Dignity: Understanding Challenges of Older LGBT Americans," was done. The online survey was conducted between October 27 and November 12, 2017, among adults aged 45 and older who identified as LGBTQ. Data analysis was conducted on SAS statistical analysis software. Descriptive statistics were completed to determine survey participant characteristics. Logistic regression was conducted to assess the association between the patient-provider relationship and overall health after adjusting for demographics and chronic health conditions. Results: Participants were predominantly white (67.08%), between ages 45-54 years (34.6%) and 55-64 years (34.1%). The majority of the participants self-identified as gay (43%) or lesbian (43%). Most participants described their overall health as "good" or better (85.5%), 71.93% informed their physician about their sexual identity (71.93%) and described their physician-patient relationship as open and honest (71.43%). The patient-provider relationship influenced the overall self-reported health status in our study population. Compared to those who had open and honest discussions with their healthcare providers, individuals with difficult relationships with their providers were less likely to have good overall health (OR 0.098, 95% CI 0.032, 0.298). Conclusion: In conclusion, the well-being of older LGBTQ adults is significantly influenced by the quality of their relationship with their healthcare providers, emphasizing the crucial role of fostering supportive patient-provider connections and highlighting the imperative for healthcare professionals to be knowledgeable and compassionate in their care of LGBTQ patients.en_US
dc.titleRole of Patient-Provider Relationship in Overall Health and Well-being of Older LGBTQ Adultsen_US