Differences in Ideal Cardiovascular Health Between Sexual Minority and Heterosexual Adults
Authors' conclusion
Results of this cross-sectional study suggest that bisexual female individuals had worse cumulative CVH scores than heterosexual female individuals, whereas gay male individuals generally had better CVH than heterosexual male individuals.
Study context
- Population
- Noninstitutional US adults aged 18 to 59 years, National Health and Nutrition Examination Survey (NHANES) 2007–2016; pregnant individuals and those with atherosclerotic CVD or HF excludedNHANES 2007–2016
- Participants
- 12,180 adults
- Exposure
- Sexual minority vs heterosexual adults
- Outcome
- Ideal CVH (AHA revised measure; cumulative score 0-100)
Methodological detailspopulation-based, sex-stratified regression models
- Population-based
- Sex-stratified regression models
Main finding
As reported in the abstract
Ideal CVH metrics, sex-stratified
B
- Lesbian (female) vs Heterosexual (female) · nicotine score
- −17.21 (95% CI −31.98 to −2.44)
- Bisexual (female) vs Heterosexual (female) · nicotine score
- −13.76 (95% CI −20.54 to −6.99)
- Bisexual (female) vs Heterosexual (female) · BMI score
- −7.47 (95% CI −12.89 to −1.97)
- Bisexual (female) vs Heterosexual (female) · cumulative ideal cardiovascular health (CVH) score
- −2.59 (95% CI −4.84 to −0.33)
- Gay (male) vs Heterosexual (male) · nicotine score
- −11.43 (95% CI −21.87 to −0.99)
- Gay (male) vs Heterosexual (male) · diet score
- 9.65 (95% CI 2.38–16.92)
- Gay (male) vs Heterosexual (male) · BMI score
- 9.75 (95% CI 1.25–18.25)
- Gay (male) vs Heterosexual (male) · glycemic status score
- 5.28 (95% CI 0.59–9.97)
Observational data: associations, not effects.
Further findings
| Outcome | aOR (95% CI) | |
|---|---|---|
| Hypertension diagnosis and antihypertensive medication use (male)Bisexual (male)vs Heterosexual (male)Hypertension diagnosis | 1.98 (1.10–3.56) | |
| Hypertension diagnosis and antihypertensive medication use (male)Bisexual (male)vs Heterosexual (male)Antihypertensive medication use | 2.20 (1.12–4.32) | |
| 0.20.5125Adjusted odds ratio (log scale) |
Original publication
Differences in Ideal Cardiovascular Health Between Sexual Minority and Heterosexual Adults. JAMA Cardiol. Published 1 April 2023. doi:10.
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