Sexual orientation identity in relation to unhealthy body mass index: individual participant data meta-analysis of 93 429 individuals from 12 UK health surveys.
Sexual orientation identity in relation to unhealthy body mass index: individual participant data meta-analysis of 93 429 individuals from 12 UK health surveys.
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DOI：
10.1093/pubmed/fdy224
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发表时间：
2020-02-28
期刊：
影响因子：
--
通讯作者：
Varney J
中科院分区：
文献类型：
--
作者：
Semlyen J;Curtis TJ;Varney J
女同性恋、男同性恋和双性恋成年人比异性恋成年人更有可能经历更糟糕的健康结果。尽管公众对保持健康体重的重要性越来越感兴趣，但没有研究考虑到英国成年人的性取向认同（SOI）和不健康的BMI类别。个体参与者数据荟萃分析使用来自人口健康调查报告的93429名成年人的数据，包括SOI、BMI和研究协变量数据。调整协变量并考虑研究间差异，与异性恋女性相比，女同性恋（OR = 1.41, 95% CI: 1.16, 1.72）或双性恋（OR = 1.24, 95% CI: 1.03, 1.48）超重/肥胖的风险增加，但与异性恋男性相比，男同性恋的风险降低（OR = 0.72, 95% CI: 0.61, 0.85）。认为自己是“其他”的女性（OR = 1.95, 95% CI: 1.07, 3.56）、认为自己是同性恋的男性（OR = 3.12, 95% CI: 1.83, 5.38）、双性恋（OR = 2.30, 95% CI: 1.17, 4.52）、认为自己是“其他”的男性（OR = 3.95, 95% CI: 1.85, 8.42）体重过轻的风险增加。在这一人群中出现的健康差异情况，以及有充分证据证明的歧视，表明性取向应被视为健康的一个社会决定因素。
Lesbian, gay and bisexual adults are more likely than heterosexual adults to experience worse health outcomes. Despite increasing public health interest in the importance of maintaining a healthy body weight, no study has considered sexual orientation identity (SOI) and unhealthy BMI categories among adults in the UK population. Individual participant data meta-analysis using pooled data from population health surveys reporting on 93 429 adults with data on SOI, BMI and study covariates. Adjusting for covariates and allowing for between-study variation, women identifying as lesbian (OR = 1.41, 95% CI: 1.16, 1.72) or bisexual (OR = 1.24, 95% CI: 1.03, 1.48) were at increased risk of overweight/obesity compared to heterosexual women, but men identifying as gay were at decreased risk (OR = 0.72, 95% CI: 0.61, 0.85) compared to heterosexual men. Increased risk of being underweight was seen for women identifying as ‘other’ (OR = 1.95, 95% CI: 1.07, 3.56), and men identifying as gay (OR = 3.12, 95% CI: 1.83, 5.38), bisexual (OR = 2.30, 95% CI: 1.17, 4.52), ‘other’ (OR = 3.95, 95% CI: 1.85, 8.42). The emerging picture of health disparities in this population, along with well documented discrimination, indicate that sexual orientation should be considered as a social determinant of health.
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