Tabor, Evangeline Rose;
(2024)
Sexual Minority Health Inequities Across The Lifecourse: A Multi-Dataset Investigation.
Doctoral thesis (Ph.D), UCL (University College London).
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Abstract
Limited international research suggests sexual minority individuals may experience poorer chronic physical health than their heterosexual peers. However, little research has explored if a similar disparity is present in the UK. This thesis aims to address this gap by exploring differences in asthma and cardiometabolic disease by sexual minority status using UK longitudinal population studies. This thesis is interested in the pathways and processes by which social inequality leads to health inequalities and how the data landscape for sexual minority health limits the questions we ask. / Methods: Using data from five UK longitudinal studies (Millennium Cohort Study (MCS), Next Steps, the British Cohort Study (BCS70), Understanding Society: the UK Household Longitudinal Study (UKHLS), and the English Longitudinal Study of Ageing (ELSA)), this thesis used individual participant data analysis to examine asthma and cardiometabolic outcomes by sexual minority status. In addition, descriptive analyses of the impact of sexuality dimension and data handling were conducted. / Results: This thesis found sexual minority people were more likely to report asthma, but there were little to no differences in prevalence of cardiovascular disease and diabetes, risk for future cardiovascular disease and outcomes for a range of anthropometric and biomarker measures. Age, gender/sex and sexual identity had important implications for outcomes. This project also looked at how outcomes vary by dimension of sexuality and found measures such as attraction, behaviour, and identity are not interchangeable. / Conclusions: This analysis adds substantially to our understanding of health disparities by sexual minority status in the UK. This thesis identifies pathways by which social inequality “gets under the skin” for sexual minority people and areas of further research and intervention. In addition, the thesis offers a critique of the data landscape for sexual minority research in the UK.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | Ph.D |
| Title: | Sexual Minority Health Inequities Across The Lifecourse: A Multi-Dataset Investigation |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © The Author 2024. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) Licence (https://creativecommons.org/licenses/by-nc/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10195070 |
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