Racial/Ethnic Differences in Cardiometabolic Risk in a Community Sample of Sexual Minority Women
Racial/Ethnic Differences in Cardiometabolic Risk in a Community Sample of Sexual Minority Women
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DOI：
10.1089/heq.2019.0024
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发表时间：
2019-01-01
期刊：
影响因子：
2.7
通讯作者：
Hughes, Tonda L.
中科院分区：
文献类型：
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作者：
Caceres, Billy A.;Veldhuis, Cindy B.;Hughes, Tonda L.
目的：探讨性别认同和种族/民族对性少数女性（SMW）自我报告的心脏代谢风险的影响。方法：对芝加哥妇女健康与生活经历研究的数据进行分析。Logistic回归模型检验了SMW中心脏代谢风险（包括肥胖、高血压和糖尿病）的种族/民族差异，并考虑了社会心理和行为因素。在回归模型中加入了一个考虑性别认同和种族/民族交集的变量（白人女同性恋女性是参照组）。结果：分析样本包括601例SMW（白人237例，黑人219例，拉丁裔145例）。黑人（调整优势比[AOR] 2.96, 95%可信区间[CI]=1.48-5.94）和拉丁裔（调整优势比[AOR] 2.30, 95% CI=1.18-4.48） SMW的终生创伤率高于白人。与白人人群相比，黑人人群肥胖（AOR 3.05, 95% CI=1.91-4.88）、高血压（AOR 1.99, 95% CI=1.08-3.66）和糖尿病（AOR 3.77, 95% CI=1.46-9.74）的发生率更高。交叉分析显示，黑人女同性恋者（AOR 2.94, 95% CI=1.74-4.97）和黑人双性恋者（AOR 3.43, 95% CI=1.69-6.96）比白人女同性恋者更容易肥胖。黑人女同性恋者患高血压（AOR 2.09, 95% CI=1.08-4.04）和糖尿病（AOR 3.31, 95% CI=1.26-8.67）的比例也高于白人女同性恋者。在心脏代谢风险方面，拉丁裔和白人没有发现差异。结论：本研究扩展了先前关于SMW中心脏代谢风险的种族/民族差异的研究。需要预防策略来降低黑色SMW的心脏代谢风险。研究结果强调，需要在SMW中进行心血管疾病研究，包括纵向设计和客观测量。
Purpose: To examine the intersection of sexual identity and race/ethnicity on self-reported cardiometabolic risk in sexual minority women (SMW). Methods: Data from the Chicago Health and Life Experiences of Women study were analyzed. Logistic regression models examined racial/ethnic differences in cardiometabolic risk (including obesity, hypertension, and diabetes) in SMW, accounting for psychosocial and behavioral factors. A variable accounting for the intersection of sexual identity and race/ethnicity was added to regression models (White lesbian women were the reference group). Results: The analytic sample included 601 SMW (237 White, 219 Black, 145 Latina). Black (adjusted odds ratio [AOR] 2.96, 95% confidence interval [CI]=1.48-5.94) and Latina (AOR 2.30, 95% CI=1.18-4.48) SMW had higher rates of lifetime trauma than White SMW. Black SMW reported higher rates of obesity (AOR 3.05, 95% CI=1.91-4.88), hypertension (AOR 1.99, 95% CI=1.08-3.66), and diabetes (AOR 3.77, 95% CI=1.46-9.74) relative to White SMW. Intersectional analyses revealed that Black lesbian (AOR 2.94, 95% CI=1.74-4.97) and Black bisexual (AOR 3.43, 95% CI=1.69-6.96) women were more likely to be obese than White lesbian women. Black lesbian women also reported higher rates of hypertension (AOR 2.09, 95% CI=1.08-4.04) and diabetes (AOR 3.31, 95% CI=1.26-8.67) than White lesbian women. No differences in cardiometabolic risk were found between Latina and White SMW. Conclusion: This study extends previous research on racial/ethnic differences in cardiometabolic risk among SMW. Prevention strategies are needed to reduce cardiometabolic risk in Black SMW. Findings highlight the need for cardiovascular disease research in SMW that incorporates longitudinal designs and objective measures.