Sexual identity differences in the association between psychological distress and cardiometabolic health among women: 2013-2018 National Health Interview Survey.

IF 2.3 3区 医学 Q1 SOCIAL WORK
Colleen D Beatriz, Elizabeth R Bertone-Johnson, Billy A Caceres, Nicole A VanKim
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Abstract

Poor psychological health has been consistently documented for sexually minoritized women. However, little is known about the association between poor psychological health and physical health. This study examined associations between psychological distress and cardiometabolic health, including cardiovascular disease risk conditions (hypertension, high cholesterol, and diabetes) and diagnoses (stroke, coronary heart disease, myocardial infarction, and angina), by sexual identity among women. Data are from the 2013-2018 National Health Interview Survey and included 102,279 women, who were straight (n = 97,909), lesbian/gay (n = 1,424), bisexual (n = 1,235), something else (n = 360), did not know (n = 712), and refused to disclose (n = 639). Multivariable multinomial logistic regression models were fit to estimate associations between psychological distress (measured with Kessler-6) and cardiometabolic health (self-reported diagnosis) and to examine sexual-identity differences in these associations. Covariates included sociodemographic characteristics. Overall, severe psychological distress was associated with significantly higher odds of having a cardiometabolic health condition (OR = 2.66). These associations generally did not statistically significantly differ based on sexual identity. However, potential substantive differences in the magnitude of the association existed among lesbian/gay (OR = 4.00) compared to straight women (OR = 2.73). Moreover, women who identified as gay/lesbian, bisexual, "something else," or "I don't know" all reported significantly higher prevalence of severe psychological distress than straight women. Given the overall positive association between psychological distress and cardiometabolic health as well as the higher prevalence of severe psychological distress among sexual minority women, more work is needed to longitudinally examine the effects of psychological distress on health among sexually minoritized women. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

女性心理困扰与心脏代谢健康之间的性别认同差异:2013-2018 年全国健康访谈调查。
性取向未成年女性的心理健康状况不佳一直都有记录在案。然而,人们对不良心理健康与身体健康之间的关系知之甚少。本研究根据女性的性取向,研究了心理困扰与心血管代谢健康之间的关系,包括心血管疾病风险状况(高血压、高胆固醇和糖尿病)和诊断(中风、冠心病、心肌梗塞和心绞痛)。数据来自 2013-2018 年全国健康访谈调查,包括 102,279 名女性,她们是异性恋(n = 97,909)、女同性恋/男同性恋(n = 1,424)、双性恋(n = 1,235)、其他(n = 360)、不知道(n = 712)和拒绝透露(n = 639)。我们建立了多变量多项式逻辑回归模型,以估计心理困扰(用 Kessler-6 测量)与心脏代谢健康(自我报告的诊断)之间的关联,并研究性身份在这些关联中的差异。协变量包括社会人口特征。总体而言,严重的心理困扰与较高的心脏代谢健康状况相关(OR = 2.66)。这些关联在统计学上一般不会因性别认同而有明显差异。然而,与异性恋女性(OR = 2.73)相比,女同性恋/男同性恋(OR = 4.00)的关联程度存在潜在的实质性差异。此外,被认定为男同性恋/女同性恋、双性恋、"其他 "或 "我不知道 "的女性报告的严重心理困扰发生率均显著高于异性恋女性。鉴于心理困扰与心脏代谢健康之间的总体正相关,以及性少数群体妇女中严重心理困扰的发生率较高,因此需要开展更多工作,纵向研究心理困扰对性少数群体妇女健康的影响。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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
CiteScore
5.70
自引率
3.00%
发文量
74
审稿时长
6-12 weeks
期刊介绍: The American Journal of Orthopsychiatry publishes articles that clarify, challenge, or reshape the prevailing understanding of factors in the prevention and correction of injustice and in the sustainable development of a humane and just society.
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