Associations Between Sexual Orientation Dimensions and Cardiometabolic Diseases: Data From the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III).

IF 2.9 3区医学 Q2 PSYCHIATRY

Psychosomatic Medicine Pub Date : 2024-11-01 Epub Date: 2024-10-16 DOI:10.1097/PSY.0000000000001349

Christopher A Crawford, Ian W Carson, Brittanny M Polanka, Michelle K Williams, Alexis B Higgins, Matthew D Schuiling, Jesse C Stewart

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引用次数: 0

Abstract

Objective: Sexual orientation can be measured across identity, attraction, and behavior. Sexual minorities are at increased risk of cardiovascular disease (CVD) and diabetes; however, it is not known whether cardiometabolic disease risk varies across these dimensions.

Methods: We analyzed cross-sectional data from 36,309 adults who participated in the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III; 2012-2013). Participants were categorized as heterosexual (reference), lesbian/gay, or bisexual across identity, attraction, and behavior using structured clinical interview data. Prevalent CVD (myocardial infarction, stroke, angina, or arteriosclerosis) and diabetes were assessed by self-report.

Results: Demographics (age, sex, race/ethnicity, education, and income) adjusted logistic regression models revealed bisexual behavior (i.e., people reporting sexual activity with both man- and woman-identifying individuals), but not lesbian/gay behavior (i.e., people reporting sexual activity exclusively with same-sex individuals), was associated with an increased odds of prevalent CVD (OR = 1.44, 95% CI = 1.08-1.91, p = .013) and prevalent diabetes (OR = 1.39, 95% CI = 1.09-1.77, p = .007). Contrastingly, sexual minority identity (i.e., self-concept) and attraction (i.e., one's sexual/romantic feelings) were not associated with prevalent CVD or diabetes.

Conclusions: Our results in a nationally representative sample indicate that the sexual orientation dimension of behavior is linked with prevalent CVD and diabetes. This finding suggests that assessing multiple sexual orientation dimensions may aid in identifying sexual minority subgroups in greatest need of cardiometabolic disease prevention efforts. Although mechanisms such as stigma and minority stress have been proposed, future studies are required to elucidate mechanisms underlying the bisexual behavior-cardiometabolic disease relationship.

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性取向维度与心脏代谢疾病之间的关系：来自全国酒精及相关疾病流行病学调查-III（NESARC-III）的数据。

目的：性取向可以从身份、吸引力和行为三个方面进行衡量。性取向少数群体罹患心血管疾病（CVD）和糖尿病的风险较高；然而，心血管代谢疾病风险在这些方面是否存在差异尚不清楚：我们分析了 36,309 名成年人的横截面数据，他们参加了全国酒精及相关疾病流行病学调查-III（NESARC-III，2012-2013 年）。通过结构化临床访谈数据，参与者被分为异性恋（参考）、女同性恋/男同性恋或双性恋，包括身份、吸引力和行为。心血管疾病（心肌梗死、中风、心绞痛或动脉硬化）和糖尿病的患病率通过自我报告进行评估：结果：人口统计学（年龄、性别、种族/民族、教育程度和收入）调整逻辑回归模型显示了双性恋行为（即报告与男性和女性认同的个体发生性行为的人），但没有显示女同性恋/男同性恋行为（即报告只与男性和女性认同的个体发生性行为的人）、与心血管疾病（OR = 1.44，95% CI：1.08-1.91，p = .013）和糖尿病（OR = 1.39，95% CI：1.09-1.77，p = .007）患病几率增加有关。）相反，性少数群体身份（即自我概念）和吸引力（即个人的性/浪漫感觉）与心血管疾病或糖尿病的发病率无关：我们在一个具有全国代表性的样本中得出的结果表明，行为的性取向维度与心血管疾病和糖尿病的发病率有关。这一结果表明，评估多个性取向维度可能有助于识别最需要预防心血管代谢疾病的性少数亚群。虽然有人提出了污名化和少数群体压力等机制，但还需要未来的研究来阐明双性恋行为与心血管代谢疾病关系的内在机制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychosomatic Medicine 医学-精神病学

CiteScore

5.10

自引率

0.00%

发文量

258

审稿时长

4-8 weeks

期刊介绍： Psychosomatic Medicine is the official peer-reviewed journal of the American Psychosomatic Society. The journal publishes experimental, clinical, and epidemiological studies on the role of psychological and social factors in the biological and behavioral processes relevant to health and disease. Psychosomatic Medicine is an interdisciplinary peer-reviewed journal devoted to high-quality science on biobehavioral mechanisms, brain-behavior interactions relevant to physical and mental disorders, as well as interventions in clinical and public health settings. Psychosomatic Medicine was founded in 1939 and publishes interdisciplinary research articles relevant to medicine, psychiatry, psychology, and other health-related disciplines. The print journal is published nine times a year; most articles are published online ahead of print. Supplementary issues may contain reports of conferences at which original research was presented in areas relevant to the psychosomatic and behavioral medicine.