UW News

October 4, 2019

Health disparities, strong social support among state’s LGBTQ community

UW News

Two gender nonbinary people sit on steps outside and talk.

A new study by the University of Washington shows health challenges, as well as social resilience, among the state’s LGBTQ residents.The Gender Spectrum Collection


LGBTQ individuals in Washington state have higher rates of disability and poorer mental health than their heterosexual counterparts, according to a study released Oct. 4 by the University of Washington.

The results of the Washington State Equity and Diversity Project show specific disparities in the health of LGBTQ adults aged 18 and older. These adults have higher rates of chronic conditions such as arthritis and asthma, and generally have poorer physical health than heterosexual older adults.

The report is the first study of its kind to examine LGBTQ people of all ages throughout the state. The goals are twofold: to identify health disparities among Washington’s LGBTQ population, including specific racial/ethnic communities; and to come up with potential interventions to address these disparities. Nearly four dozen local and state agencies and organizations are partnering in the effort.

The work is funded by the UW Population Health Initiative, an interdisciplinary effort across the university to bring understanding and solutions to the biggest health challenges facing communities here in the Northwest, the U.S. and around the world. Six UW researchers — five on the Seattle campus and one at UW Tacoma — are spearheading the Washington State Equity and Diversity Project.

The findings are being presented Oct. 4 at the national LGBTQ Health and Longevity Conference in Seattle.

“The findings from this study have tremendous implications for the state of Washington,” said Karen Fredriksen Goldsen, a professor in the UW School of Social Work and the project’s principal investigator. Fredriksen Goldsen also leads other landmark federally funded studies, including the longitudinal investigation, Aging with Pride: National Health, Aging and Sexuality/Gender Study, which involves more than 2,400 LGBTQ adults nationwide.

“This is the first study of its kind that looks at LGBTQ individuals across generations and regions of the state and the role that race, ethnicity, economic background, sexual orientation and gender play in their health and well-being,” she said.

The Equity and Diversity project analyzed 2011-2016 data from the Washington State Behavioral Risk Factor Surveillance System. Among all sexual minority respondents, data showed a higher prevalence of smoking, arthritis and disability, as well as poorer mental health, than heterosexual adults. The same trends held for LGBTQ respondents over age 50, except sexual minority men had higher rates of smoking, and sexual minority women had higher rates of cardiovascular disease, obesity and binge drinking.

Some health problems showed signs of decline: smoking in sexual minority older women, and binge drinking, disability and physical health among sexual minority older men. In an effort to be inclusive, the study uses the term “sexual minority.”

When data were broken down further, as racial/ethnic sexual minorities, women showed greater risk of hypertension, while men showed greater risk of diabetes.

A supplementary community-based survey, developed by the researchers, of about 1,800 LGBTQ adults focused on economic and social inequities in the state. The survey found significant rates of discrimination, trauma and barriers to health care and other services, while noting what many respondents reported were buffers against bias and isolation: social networks and community activities.

That survey found:

  • Nearly 90% had experienced a traumatic event during their lifetime
  • Nearly 70% had experienced a microaggression, and just over 30% said they had recently been bullied
  • Almost half had faced food insecurity or financial barriers to health care
  • More than one-third reported feelings of isolation
  • Some 70% said they had a support network, 73% said they participated in LGBTQ advocacy, and 93% helped people in the community

Overall, the data showed greater challenges for transgender, bisexual and queer people and racial/ethnic minorities.

“More attention is needed to address the vulnerabilities of trans and gender-diverse people, including those of color, who are hard-to-reach populations,” Fredriksen Goldsen said.

Next, the researchers plan to submit a proposal to the National Institutes of Health, which this year awarded $3 million over the next five years to the Aging with Pride study to conduct the first study of a memory-loss and caregiving intervention in this community.

Co-authors of the Washington State Equity and Diversity Project were Hyun-Jun Kim of the UW School of Social Work; Barbara Cochrane of the UW School of Nursing; Dr. Corinne Heinen of UW Medicine; Marieka Klawitter of the Evans School of Public Policy & Governance; and Charles Emlet of the School of Social Work & Criminal Justice at UW Tacoma.


For more information, contact Karen Fredriksen Goldsen at 206-714-7419 or fredrikk@uw.edu.