Sexual Orientation and Sex Differences in Adult Chronic Conditions, Health Risk Factors, and Protective Health Practices, Oregon, 2005–2008

Garland-Forshee, Rodney Y.; Fiala, Steven C.; Ngo, Duyen L.; Moseley, Katarina

doi:10.5888/pcd11.140126

Cited by 43 publications

(52 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…6,13,15,18 In contrast to these population-based studies, bisexual women in our study were on average, reporting consuming more fruits and vegetables than heterosexual women, although there were no differences between lesbian and heterosexual women. While fruit and vegetable consumption is an important aspect of dietary intake, it represents only a small part overall.…”

Section: Discussioncontrasting

confidence: 97%

Dietary Patterns during Adulthood among Lesbian, Bisexual, and Heterosexual Women in the Nurses’ Health Study II

VanKim¹,

Austin²,

Jun³

et al. 2017

Journal of the Academy of Nutrition and Dietetics

View full text Add to dashboard Cite

Background Lesbian and bisexual women are at greater risk of being obese than heterosexual women, however, there is little research on dietary intake among lesbian and bisexual women. Objective This study estimated differences in dietary quality and intake during adulthood comparing heterosexual women to lesbian and bisexual women. Design Biennial mailed questionnaires were used to collect data from a cohort between 1991-2011. Heterosexual-identified women were the reference group. Participants/Setting Over 100,000 female registered nurses in the United States, ages 24-44 years were recruited in 1989 to participate in the Nurses’ Health Study II. Over 90% of the original sample are currently active in the study. About 1.3% identified as lesbian or bisexual. Main outcome measures Dietary measures were calculated from a 133-item food frequency questionnaire administered every four years. Measures included diet quality (Alternative Healthy Eating Index-2010 (AHEI-2010) and Dietary Approaches to Stop Hypertension); calorie, fat, and fiber intake; and glycemic load and index. Statistical analyses Multivariable adjusted repeated measures linear regression models were fit. Results On average, lesbian and bisexual women reported better diet quality (p<0.001) and diets lower in glycemic index (p<0.001) than heterosexual women. In the whole cohort, diet quality scores increased as participants aged and were lower among women living in rural compared to urban regions. Comparisons in dietary intake across sexual orientation groups were generally similar across age and rurality status. However, differences between lesbian and heterosexual women in AHEI-2010 were larger during younger compared to older ages, suggesting that diet quality estimates among sexual orientation groups converged as women aged. Conclusion Lesbian and bisexual women reported higher diet quality than heterosexuals. More research examining how diet effects risk for chronic conditions, such as diabetes, among sexual minorities is needed. Physical activity, sedentary behavior, disordered eating behaviors, and psychosocial and minority stress should be explored as potential contributors to higher rates of obesity among sexual minority women.

show abstract

Section: Discussioncontrasting

confidence: 97%

Dietary Patterns during Adulthood among Lesbian, Bisexual, and Heterosexual Women in the Nurses’ Health Study II

VanKim¹,

Austin²,

Jun³

et al. 2017

Journal of the Academy of Nutrition and Dietetics

View full text Add to dashboard Cite

show abstract

“…Sexual minorities do not represent a single homogenous group and there is evidence that risk varies across sexual orientation categories. 31,32 In the current study, bisexually identified individuals characterized 62% of the sexual minority group and therefore findings may be more reflective of experiences of bisexual cancer survivors than other sexual minorities. Future work with larger samples of sexual minority cancer survivors may reveal statistically significant differences in health behaviors that we were unable to detect in our study.…”

Section: Health Behaviors and Health Among Cancer Survivorsmentioning

confidence: 73%

Health Behaviors and Self-Reported Health Among Cancer Survivors by Sexual Orientation

2015

View full text Add to dashboard Cite

Purpose: Health behaviors and self-reported health are important for understanding cancer survivor health. However, there is a paucity of published research about how cancer survivors' health behaviors and self-rated health vary by sexual orientation. This study examined cancer survivors' health behaviors and self-reported health by sexual orientation. Methods: This study used data from the National Health and Nutrition Examination Survey (NHANES) from 2001-2010. Self-reported health and cancer-related health behaviors were compared by sexual orientation. Propensity score adjustment was used to account for differences in age, race, education, gender and health insurance status. Results: Of the 602 survivors eligible for the study, 4.3% identified as sexual minorities. Sexual minorities were 2.6 times more likely to report a history of illicit drug use (adjusted odds ratio [aOR] = 2.4, 95% confidence interval [CI]: 1.04, 5.35), and 60% less likely to report their current health status as good (aOR = 0.40, 95% CI: 0.18, 0.89), compared to heterosexual cancer survivors. These disparities persisted even after adjustment for sociodemographic characteristics. Conclusion: Our findings suggest that sexual minority cancer survivors may be at greater risk for poorer outcomes after cancer than other survivors. A possible explanation for the observed differences involves minority stress. Future research should test stress as an explanation for these differences. However, using populationmethods to achieve this goal requires larger samples of lesbian, gay, and bisexual (LGB) cancer survivors.

show abstract

“…This supports findings of O’Driscoll et al who identified bisexual-identified individuals as having a greater risk for an overdose event [16], however, extensive reports on mortality risk in sexual minority PWID are lacking. Gay/lesbian-identified individuals are at higher risk for suicide attempts, smoking, and binge drinking episodes [41, 42]. Further, sexual minorities are at higher risk of early mortality in communities with a high level of social marginalization [32, 33], which could be important when considering the social marginalization already faced by PWID.…”

Section: Discussionmentioning

confidence: 99%

A Hazard Analysis of Risk Factors of Mortality in Individuals Who Inject Drugs in Denver CO

et al. 2017

View full text Add to dashboard Cite

Despite multiple risk factors for mortality among People Who Inject Drugs (PWID), more research is warranted that examines sub-populations within PWID. Mortality data from PWID participating in longitudinal HIV prevention research in Denver were obtained from The Colorado Department of Public Health and Environment. Risk factors for both all-cause and acute-toxicity related mortality were analyzed using Cox proportional hazards regression. Two-thousand seven individuals were interviewed at baseline. Eighty-six individuals died during the time frame of the study, 58 of which were due to acutetoxicity. Disabled (HR = 3.3, p < 0.001), gay/lesbian-identified (HR = 2.6, p = 0.03), white race/ethnicity (HR = 2.4, p = 0.003), and use of a shared cooker (HR = 2.1, p = 0.01) were important adjusted risk factors. These suggest that drug and HIV interventions should utilize techniques that can address the needs of marginalized populations in addition to HIV drug risk behaviors.

show abstract

Sexual Orientation and Sex Differences in Adult Chronic Conditions, Health Risk Factors, and Protective Health Practices, Oregon, 2005–2008

Cited by 43 publications

References 24 publications

Dietary Patterns during Adulthood among Lesbian, Bisexual, and Heterosexual Women in the Nurses’ Health Study II

Dietary Patterns during Adulthood among Lesbian, Bisexual, and Heterosexual Women in the Nurses’ Health Study II

Health Behaviors and Self-Reported Health Among Cancer Survivors by Sexual Orientation

A Hazard Analysis of Risk Factors of Mortality in Individuals Who Inject Drugs in Denver CO

Contact Info

Product

Resources

About