TY - JOUR
T1 - Disparities in long-term cardiovascular disease risk by sexual identity
T2 - The National Longitudinal Study of Adolescent to Adult Health
AU - Clark, Cari Jo
AU - Borowsky, Iris W.
AU - Salisbury, John
AU - Usher, Joann
AU - Spencer, Rachael A.
AU - Przedworski, Julia M.
AU - Renner, Lynette M.
AU - Fisher, Colleen
AU - Everson-Rose, Susan A.
N1 - Publisher Copyright:
© 2015 Elsevier Inc.
PY - 2015/7/1
Y1 - 2015/7/1
N2 - Objective: To examine long-term cardiovascular disease (CVD) risk disparities by sexual identity using a nationally representative sample of young adults in the United States. Methods: Data include participants in wave 4 (2008/09; ages 24-34. years) of the National Longitudinal Study of Adolescent to Adult Health (7087 females; 6340 males). Sexual identity was self-reported (heterosexual, mostly heterosexual, bisexual, mostly homosexual, homosexual) and a Framingham-based prediction model was used to estimate participants' risk of a CVD event over 30. years. Differences in CVD risk by sexual identity, relative to heterosexuals, were calculated with linear regression models adjusted for age, race/ethnicity, education, and financial distress. Results: Average 30-year CVD risk was 17.2% (95% CI: 16.7, 17.7) in males and 9.0% (95% CI: 8.6, 9.3) in females. Compared to heterosexual females, mostly heterosexual (0.8%; 95% CI: 0.2, 1.4) and mostly homosexual females (2.8%; 95% CI: 0.8, 4.9) had higher CVD risk. Bisexual and homosexual females had higher but not statistically significant CVD risk compared to heterosexuals. Among males, differences in CVD risk by sexual identity were not statistically significant. Conclusion: Sexual identity was associated with CVD risk in sexual minority subgroups. Population- and clinic-based prevention strategies are needed to minimize disparities in subsequent disease.
AB - Objective: To examine long-term cardiovascular disease (CVD) risk disparities by sexual identity using a nationally representative sample of young adults in the United States. Methods: Data include participants in wave 4 (2008/09; ages 24-34. years) of the National Longitudinal Study of Adolescent to Adult Health (7087 females; 6340 males). Sexual identity was self-reported (heterosexual, mostly heterosexual, bisexual, mostly homosexual, homosexual) and a Framingham-based prediction model was used to estimate participants' risk of a CVD event over 30. years. Differences in CVD risk by sexual identity, relative to heterosexuals, were calculated with linear regression models adjusted for age, race/ethnicity, education, and financial distress. Results: Average 30-year CVD risk was 17.2% (95% CI: 16.7, 17.7) in males and 9.0% (95% CI: 8.6, 9.3) in females. Compared to heterosexual females, mostly heterosexual (0.8%; 95% CI: 0.2, 1.4) and mostly homosexual females (2.8%; 95% CI: 0.8, 4.9) had higher CVD risk. Bisexual and homosexual females had higher but not statistically significant CVD risk compared to heterosexuals. Among males, differences in CVD risk by sexual identity were not statistically significant. Conclusion: Sexual identity was associated with CVD risk in sexual minority subgroups. Population- and clinic-based prevention strategies are needed to minimize disparities in subsequent disease.
KW - Cardiovascular diseases
KW - Health status disparities
KW - Homosexuality
UR - http://www.scopus.com/inward/record.url?scp=84928123232&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84928123232&partnerID=8YFLogxK
U2 - 10.1016/j.ypmed.2015.03.022
DO - 10.1016/j.ypmed.2015.03.022
M3 - Article
C2 - 25849883
AN - SCOPUS:84928123232
SN - 0091-7435
VL - 76
SP - 26
EP - 30
JO - Preventive medicine
JF - Preventive medicine
ER -
