title: Disability among lesbian, gay, and bisexual adults: disparities in prevalence and risk.
abstract: OBJECTIVE
  We used population-based data to comprehensively examine disability among lesbian, gay, and bisexual adults.
  
  
  METHODS
  We estimated prevalence of disability and its covariates and compared by sexual orientation by utilizing data from the Washington State Behavioral Risk Factor Surveillance System (n = 82,531) collected in 2003, 2005, 2007, and 2009. We used multivariate logistic regression to examine the relationship between disability and sexual orientation, after we controlled for covariates of disability.
  
  
  RESULTS
  Findings indicated that the prevalence of disability is higher among lesbian, gay, and bisexual adults compared with their heterosexual counterparts; lesbian, gay, and bisexual adults with disabilities are significantly younger than heterosexual adults with disabilities. Higher disability prevalence among lesbians and among bisexual women and men remained significant after we controlled for covariates of disability.
  
  
  CONCLUSIONS
  Higher rates of disability among lesbian, gay, and bisexual adults are of major concern. Efforts are needed to prevent, delay, and reduce disabilities as well as to improve the quality of life for lesbian, gay, and bisexual adults with disabilities. Future prevention and intervention efforts need to address the unique concerns of these groups.
authors.affiliation: School of Social Work, University of Washington, Seattle, WA, USA. fredrikk@u.washington.edu
authors.forename: Karen I
authors.initials: KI
authors.lastname: Fredriksen-Goldsen
authors.forename: Hyun-Jun
authors.initials: HJ
authors.lastname: Kim
authors.forename: Susan E
authors.initials: SE
authors.lastname: Barkan
mesh_terms: D000328:Adult; D001727:Bisexuality / Q000706:statistics & numerical data*; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D054624:Health Status Disparities; D018452:Homosexuality, Female / Q000706:statistics & numerical data*; D018451:Homosexuality, Male / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D015995:Prevalence; D012307:Risk Factors; D012737:Sex Factors; D012959:Socioeconomic Factors; D014861:Washington / Q000453:epidemiology
references.citation: Br J Psychiatry. 2002 May;180:423-7
references.pmid: 11983639
references.citation: Am J Public Health. 2010 Oct;100(10):1953-60
references.pmid: 20516373
references.citation: Psychol Bull. 2003 Sep;129(5):674-697
references.pmid: 12956539
references.citation: Am J Public Health. 2010 Mar;100(3):460-7
references.pmid: 19696397
references.citation: Psychiatr Serv. 2004 Dec;55(12):1408-13
references.pmid: 15572569
references.citation: MMWR Morb Mortal Wkly Rep. 2009 May 1;58(16):421-6
references.pmid: 19407734
references.citation: MMWR Morb Mortal Wkly Rep. 2004 Oct 22;53(41):963-6
references.pmid: 15496824
references.citation: Am J Public Health. 2007 Jun;97(6):1134-40
references.pmid: 17463369
references.citation: Int J Obes. 1989;13(4):441-53
references.pmid: 2793299
references.citation: Am J Public Health. 2007 Nov;97(11):2048-55
references.pmid: 17463371
references.citation: Int J Epidemiol. 1997 Oct;26(5):1063-70
references.pmid: 9363529
references.citation: J Clin Epidemiol. 1999 Jan;52(1):27-37
references.pmid: 9973071
references.citation: Am J Public Health. 2007 Aug;97(8):1496-502
references.pmid: 17600265
references.citation: Disabil Health J. 2011 Apr;4(2):59-67
references.pmid: 21419369
references.citation: Am J Public Health. 1981 May;71(5):464-71
references.pmid: 6452067
references.citation: J Asthma. 2006 Oct;43(8):579-84
references.pmid: 17050221
references.citation: Am J Public Health. 2010 Nov;100(11):2255-61
references.pmid: 20864722
references.citation: J Am Geriatr Soc. 2002 Sep;50(9):1525-34
references.pmid: 12383150
references.citation: Med Care. 2008 Jan;46(1):92-100
references.pmid: 18162861
references.citation: MMWR Suppl. 2011 Jan 14;60(1):3-10
references.pmid: 21430613
references.citation: Chest. 1993 Nov;104(5):1371-7
references.pmid: 8222790