Sexual Orientation Identity Disparities in Mammography Among White, Black, and Latina US Women
Sexual Orientation Identity Disparities in Mammography Among White, Black, and Latina US Women
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DOI：
10.1089/lgbt.2020.0039
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发表时间：
2020-07-13
期刊：
影响因子：
4.8
通讯作者：
Austin, S. Bryn
中科院分区：
文献类型：
--
作者：
Agenor, Madina;Perez, Ashley E.;Austin, S. Bryn
目的：我们的目标是研究美国女性乳房X光检查中与种族/民族相关的性取向身份差异。方法：使用具有全国代表性的2013-2017年全国健康访谈调查数据，我们使用多变量logistic回归估计在过去一年中接受乳房X光检查的几率与白色，黑人和拉丁裔美国女性40-75岁（N = 45，031）的性取向身份之间的关系。我们还评估了社会经济和医疗保健因素是否减弱了不同种族/民族之间乳房X光检查中的性取向身份差异。结果：在白色女性中，与异性恋女性相比，双性恋女性的乳腺X线检查校正比值显著较低（比值比= 0.70，95%置信区间：0.50-0.99）。在黑人女性中，双性恋女性的乳腺X光检查调整后的几率显著高于异性恋女性（2.53，1.08-5.92）。黑人女同性恋女性似乎有较低的调整后的乳腺X光检查的几率相比，他们的异性恋同行;然而，这种差异没有统计学意义（0.80，0.46-1.38）。同样，在拉丁裔女性中，女同性恋女性似乎也有较低的调整后的乳房X光检查相对于异性恋女性，但这种差异也没有统计学意义（0.64，0.37-1.13）。增加社会经济因素完全缩小了白色双性恋和异性恋女性之间的差异（0.76，0.52-1.10）。结论：在过去的一年里，在接受乳房X光检查时，性取向认同的差异与白色、黑人和拉丁裔美国妇女的种族/民族之间的关系不同。需要对黑人和拉丁裔女同性恋和双性恋妇女进行更多的研究，以更准确地估计和解释观察到的差异。
Purpose:Our goal was to examine sexual orientation identity disparities in mammography in relationship to race/ethnicity among U.S. women. Methods:Using nationally representative 2013-2017 National Health Interview Survey data, we used multivariable logistic regression to estimate the odds of receiving a mammogram in the past year in relationship to sexual orientation identity among White, Black, and Latina U.S. women 40-75 years of age (N = 45,031) separately, adjusting for demographic factors. We also assessed whether socioeconomic and health care factors attenuated sexual orientation identity disparities in mammography across racial/ethnic groups. Results:Among White women, bisexual women had significantly lower adjusted odds of mammography compared to heterosexual women (odds ratio = 0.70, 95% confidence interval: 0.50-0.99). Among Black women, the adjusted odds of mammography were significantly higher among bisexual women relative to heterosexual women (2.53, 1.08-5.92). Black lesbian women appeared to have lower adjusted odds of mammography compared to their heterosexual counterparts; however, this difference was not statistically significant (0.80, 0.46-1.38). Similarly, among Latina women, lesbian women also seemed to have lower adjusted odds of mammography relative to heterosexual women, but this disparity was also not statistically significant (0.64, 0.37-1.13). Adding socioeconomic factors completely attenuated the disparity between White bisexual and heterosexual women (0.76, 0.52-1.10). Conclusions:Sexual orientation identity disparities in receiving a mammogram in the past year differed in relationship to race/ethnicity among White, Black, and Latina U.S. women. Additional research with larger samples of Black and Latina lesbian and bisexual women is needed to more accurately estimate and explain observed differences.