Differences in Multimorbidity among Cisgender Sexual Minority and Heterosexual Adults: Investigating Differences across Age-Groups.

Differences in Multimorbidity among Cisgender Sexual Minority and Heterosexual Adults: Investigating Differences across Age-Groups.
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DOI:
10.1177/0898264320983663
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发表时间:
2021-06
影响因子:
2.8
通讯作者:
Sharma Y
Sharma Y
中科院分区:
医学3区
文献类型:
--
作者:
Caceres BA;Travers J;Sharma Y

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尽管慢性疾病的风险增加,但有限的研究已经检查了顺性别性少数群体和异性恋成年人之间的多发病差异。分析了2014-2018年行为风险因素监测系统的数据。我们使用性别分层的多项逻辑回归来检验:1)性少数和异性恋成年人之间多发病的性别认同差异,以及2)差异是否因年龄组而异。样本包括687,151名成年人(年龄18-80岁)。男同性恋、女同性恋和双性恋的成年人比异性恋的成年人有更高的几率发生多性行为。50岁以下的双性恋成年人和60岁以下的女同性恋者之间的差异更大。50岁以上将自己的性身份确定为“其他”的男性和80岁以上的女同性恋者报告的多死亡率低于同性的异性恋者。需要采取健康促进干预措施,减少性少数群体在整个生命周期中的多次死亡。
Despite increased risk for chronic disease there is limited research that has examined differences in multimorbidity between cisgender sexual minority and heterosexual adults. Data from the 2014–2018 Behavioral Risk Factor Surveillance System were analyzed. We used sex-stratified multinomial logistic regression to examine: 1) sexual identity differences in multimorbidity between sexual minority and heterosexual adults and 2) whether differences varied by age group. The sample included 687,151 adults (ages 18–80+). Gay, lesbian, and bisexual adults had higher odds of multimorbidity than heterosexual adults. Differences were greater among bisexual adults under the age of 50 and lesbian women under the age of 60. Men over the age of 50 who identified their sexual identity as “other” and lesbian women over the age of 80 reported lower multimorbidity compared to their heterosexual counterparts of the same sex. Health promotion interventions to reduce multimorbidity among sexual minorities across the lifespan are needed.
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