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16-01-2022

Sexual minorities are at elevated risk of cardiovascular disease from a younger age than heterosexuals

Auteurs: Jessica Sherman, Christina Dyar, Jodi McDaniel, Nicholas T. Funderburg, Karen M. Rose, Matt Gorr, Ethan Morgan

Gepubliceerd in: Journal of Behavioral Medicine

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Abstract

Cardiovascular disease is the leading cause of death worldwide. In this study, we assessed factors related to cardiovascular disease risk and outcomes among sexual minorities (SM). Data from multiple waves of the PATH study were used in this analysis. Multivariable regression models were used to assess the association between sexual identity and: tobacco or e-cigarette use, adverse cardiovascular events, and age at first diagnosis of adverse cardiovascular disease events. In our sample (N = 23,205), 1,660 (7.15%) participants identified as SM. SM men, relative to heterosexual men, are more likely to be diagnosed with high blood pressure (aRR = 1.27; 95% CI 1.10, 1.47), high cholesterol (aRR = 1.32; 95% CI: 1.12, 1.55), congestive heart failure (aRR = 2.29; 95% CI 1.13, 4.65), stroke (aRR = 2.39; 95% CI: 1.14, 5.04), heart attack (aRR = 2.40; 95% CI 1.42, 4.04), and other heart conditions (aRR = 1.52; 95% CI: 1.06, 2.18). Although no simple differences were observed among SM women compared to heterosexual women, SM women were more likely to be diagnosed at a younger age for high blood pressure (aRR = -0.69; 95% CI − 1.08, − 0.29), high cholesterol (aRR = -0.77; 95% CI − 1.15, − 0.38), stroke (aRR =  − 1.04; 95% CI − 1.94, − 0.13), and heart attack (aRR =  − 1.26; 95% CI − 2.42, − 0.10). SM men were only diagnosed at a younger age for stroke (aRR =  − 1.18; 95% CI − 2.06, − 0.30). Compared to heterosexuals, sexual minorities are at higher risk for cardiovascular disease, more likely to develop cardiovascular disease at an earlier age, and more likely to use tobacco products. Future research should focus on decreasing cardiovascular risk among sexual minorities including reducing tobacco use and stress. Screening recommendations for sexual minority populations should also be reviewed in light of a growing body of literature suggesting elevated risk from a young age.

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Metagegevens
Titel
Sexual minorities are at elevated risk of cardiovascular disease from a younger age than heterosexuals
Auteurs
Jessica Sherman
Christina Dyar
Jodi McDaniel
Nicholas T. Funderburg
Karen M. Rose
Matt Gorr
Ethan Morgan
Publicatiedatum
16-01-2022
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-021-00269-z