性取向相关非歧视法律对30年心血管疾病风险的影响

IF 3.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
LGBT health Pub Date : 2025-09-15 DOI:10.1089/LGBT.2024.0268
Yashika Sharma, Morgan Philbin, Bethany Everett, Caleigh Dwyer, Anisha Bhargava, Danny Doan, Lauren B Beach, Lisa Pardee, Billy A Caceres
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引用次数: 0

摘要

目的:我们的目的是通过性取向相关的非歧视法律对30年心血管疾病(CVD)风险影响的性取向差异,来扩展现有的关于男女同性恋和双性恋(LGB)成年人心血管健康差异的结构性决定因素的证据。方法:我们分析了全国青少年到成人健康纵向研究的第三阶段(2001-2002)、第四阶段(2008-2009)和第五阶段(2016-2018)的数据。性取向被分类为完全异性恋、大部分异性恋、双性恋或同性恋。我们将第三至第四波期间与性取向相关的非歧视法律的变化分类为没有变化(参照组)、增加或减少。我们使用Framingham风险评分评估Wave V的30年心血管疾病风险。我们使用性别分层回归模型来检验性取向相关的非歧视法律的变化与30年心血管疾病风险之间的关系是否被性取向所缓和。结果:样本包括3768名参与者(平均年龄[标准差]= 28.7[±1.72]岁),其中约77%为白人,11%为西班牙裔,51%为女性。与完全异性恋参与者相比,非歧视法律的增加与大多数异性恋女性(B = -5.05, 95%可信区间[CI] = -8.50至-1.59)和男同性恋者(B = -10.22, 95% CI = -19.05至-1.39)的心血管疾病风险降低有关。与完全异性恋的成年人相比,其他LGB亚组没有显著差异。结论:越来越多的法律禁止与性取向有关的歧视,可能在降低某些LGB亚群的心血管疾病风险方面发挥重要作用。这些发现可以为降低LGB成人心血管疾病风险的结构性干预提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Examining the Influence of Sexual Orientation-Related Nondiscrimination Laws on 30-Year Cardiovascular Disease Risk.

Purpose: Our aim was to expand existing evidence on structural determinants of cardiovascular health disparities among lesbian, gay, and bisexual (LGB) adults by examining sexual orientation differences in the impact of sexual orientation-related nondiscrimination laws on 30-year cardiovascular disease (CVD) risk. Methods: We analyzed data from Waves III (2001-2002), IV (2008-2009), and V (2016-2018) of the National Longitudinal Study of Adolescent to Adult Health. Sexual orientation was categorized as exclusively heterosexual, mostly heterosexual, bisexual, or gay/lesbian. We categorized changes in sexual orientation-related nondiscrimination laws between Waves III-IV as no change (reference group), increased, or decreased. We assessed 30-year CVD risk at Wave V using the Framingham Risk Score. We ran sex-stratified regression models to examine whether the association between changes in sexual orientation-related nondiscrimination laws and 30-year CVD risk was moderated by sexual orientation. Results: The sample included 3768 participants (mean age [standard deviation] = 28.7 [±1.72] years) of whom approximately 77% were White, 11% Hispanic, and 51% female. Compared with exclusively heterosexual participants, an increase in nondiscrimination laws was associated with lower CVD risk among mostly heterosexual women (B = -5.05, 95% confidence interval [CI] = -8.50 to -1.59) and gay men (B = -10.22, 95% CI = -19.05 to -1.39). There were no significant differences for other LGB subgroups when compared with exclusively heterosexual adults. Conclusions: Increasing laws that prohibit sexual orientation-related discrimination may play an important role in reducing CVD risk among some LGB subgroups. These findings can inform structural-level interventions to reduce CVD risk among LGB adults.

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来源期刊
LGBT health
LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.60
自引率
6.20%
发文量
80
期刊介绍: LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.
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