Prevalence of Self-Reported Diabetes by Sexual Orientation: Results from the 2014 Behavioral Risk Factor Surveillance System

Beach, Lauren B.; Elasy, Tom A.; Gonzales, Gilbert

doi:10.1089/lgbt.2017.0091

Cited by 55 publications

(48 citation statements)

References 44 publications

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“…This was a consistent finding from numerous large US epidemiological studies that contributed to the meta-analysis but had no explanation as to why this is the case. In gay and bisexual men, there are apparently higher rates of diabetes mellitus compared to heterosexual men (Beach et al 2018). This study again found no difference in diabetes mellitus rates in lesbians and bisexual women compared to heterosexual women (Beach et al 2018).…”

Section: Cardiovascular Disease and Other Conditionssupporting

confidence: 45%

Health and Well-being Among Sexual Minority People

Meads

2020

Handbook of Labor, Human Resources and Population Economics

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Invisibility is an issue that affects a number of minority groups. There can be an assumption that there is no difference between the minority group and the majority and no effort is made to check whether this assumption holds true. Even where there might be evidence to the contrary, this can be discounted, leading to minority group concerns being not reported or underreported. This marginalization forms part of the institutional discrimination that minority groups can face.

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Section: Cardiovascular Disease and Other Conditionssupporting

confidence: 45%

Health and Well-being Among Sexual Minority People

Meads

2020

Handbook of Labor, Human Resources and Population Economics

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“…9 Higher rates of HIV and cancer in certain SGM subpopulations make them more likely to be immunocompromised and, therefore, vulnerable to infections compared with cisgender and heterosexual groups. 6,7,10 In addition, some SGM subgroups use tobacco and marijuana more frequently compared with cisgender, heterosexual peers, 11 and various SGM subgroups are more likely to have chronic conditions associated with COVID-19-related risks, including diabetes, 12 asthma, 13 and hypertension. 14 SGM people are less likely to seek health care due to stigma and discrimination, 15 and due to structural factors that make care financially inaccessible.…”

Section: Introductionmentioning

confidence: 99%

Addressing the Disproportionate Impacts of the COVID-19 Pandemic on Sexual and Gender Minority Populations in the United States: Actions Toward Equity

et al. 2020

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Sexual and gender minority (SGM) populations may be affected disproportionately by health emergencies such as the coronavirus disease 2019 (COVID-19) pandemic. Health professionals must take immediate steps to ensure equitable treatment of SGM populations. These steps are to (1) maintain and increase cultural responsiveness training and preparedness for SGM populations, (2) increase use of sexual orientation and gender identity measures in surveillance, (3) conduct research on the impacts of COVID-19 on SGM populations, and (4) include equity-focused initiatives in disaster preparedness plans. These actions toward equity would begin to allow for our current health system to care more appropriately for SGM populations.

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“…Within epidemiological studies, older age, greater BMI, and non‐White race have been shown to be the strongest risk factors for the development of diabetes . Increasingly, research has also demonstrated that sexual minorities may be at increased risk for the development of diabetes …”

Section: Introductionmentioning

confidence: 99%

“…11 Increasingly, research has also demonstrated that sexual minorities may be at increased risk for the development of diabetes. 12,13 In this study, we used a multiyear pooled dataset of high-school youth to articulate the prevalence of major diabetes risk factors identified by the ADA and within the epidemiologic scientific literature, including PA, SB, and BMI, and to identify significant differences in these risk factors based on sexual identity. Based on prior research, we hypothesized that, even after adjusting for other known diabetes risk factors, sexual minority youth would have greater behavioral risk factors for type 2 diabetes and be more likely to be overweight or obese than their sex-matched heterosexual counterparts.…”

mentioning

confidence: 99%

Risk factors for diabetes are higher among non-heterosexual US high-school students

et al. 2018

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Low physical activity (PA), high sedentary behavior (SB), and overweight and obesity have been shown to associate with increased Type 2 diabetes risk among adolescents. We investigated PA, SB, and overweight and obesity among Youth Risk Behavior Survey (YRBS) respondents to determine if non-heterosexual youth may be at increased diabetes risk compared to heterosexual youth. Weighted city and state YRBS data were pooled across 44 jurisdictions biennially from 2009 to 2015, resulting in a sample size of 350 673 students. Overall, 88.4% identified as heterosexual, 2.1% as gay or lesbian, 5.7% as bisexual, and 3.7% as unsure. With the exception of lesbian female students, after adjusting for age, race/ethnicity, body mass index, and survey year, all non-heterosexual youth reported significantly fewer days per week of PA compared to their sex-matched heterosexual counterparts. Similarly, compared to heterosexual female youth, bisexual and not sure female youth reported significantly more hours per day of SB. These PA and SB findings remained significant after adjustment for depressive symptoms and in-school bullying among bisexual female youth only. In fully adjusted models, lesbian students were 1.85 times more likely to be overweight and lesbian, bisexual, and not sure female youth were 1.55 to 2.07 times more likely to be obese than heterosexual female students. No significant differences in SB, overweight, or obesity were found among gay, bisexual, or unsure male youth compared to heterosexual male youth. Non-heterosexual youth may be at increased risk for developing type 2 diabetes mellitus compared to heterosexual youth. Future studies should characterize diabetes prevalence among non-heterosexual youth.

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Prevalence of Self-Reported Diabetes by Sexual Orientation: Results from the 2014 Behavioral Risk Factor Surveillance System

Cited by 55 publications

References 44 publications

Health and Well-being Among Sexual Minority People

Health and Well-being Among Sexual Minority People

Addressing the Disproportionate Impacts of the COVID-19 Pandemic on Sexual and Gender Minority Populations in the United States: Actions Toward Equity

Risk factors for diabetes are higher among non-heterosexual US high-school students

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