Differences in hypertension by sexual orientation among U.S. young adults.

Differences in hypertension by sexual orientation among U.S. young adults.
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DOI:
10.1007/s10900-013-9655-3
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发表时间:
2013-06
影响因子:
5.9
通讯作者:
Mollborn, Stefanie
Mollborn, Stefanie
中科院分区:
医学4区
文献类型:
--
作者:
Everett, Bethany;Mollborn, Stefanie

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本研究使用具有全国代表性的数据集,通过收缩压和舒张压的客观测量,首次估计了不同性取向之间的高血压差异。逻辑回归显示,大多数异性恋/双性恋受访者与男性和女性中异性恋受访者之间的高血压风险没有差异。然而,与异性恋男性相比,男同性恋者患高血压的可能性几乎是异性恋男性的两倍(比值比 = 1.92,p <.01)。风险升高不能用少数群体的压力来解释,也不能用吸烟、饮酒、吸毒、体重指数或体力活动等心血管疾病危险因素来解释。在女性受访者中,没有发现因性取向而导致的高血压风险存在差异。结果表明,与异性恋男性相比,男同性恋者患高血压的风险更高,但这不能用测量的健康行为差异来解释。
Using a nationally representative data set, this study provides the first estimates of differences in hypertension by sexual orientation using objective measures of systolic and diastolic blood pressure. Logistic regressions showed that there were no differences in hypertensive risk between mostly heterosexual/bisexual identified-respondents and heterosexual-identified respondents among both men and women. Gay men, however, are almost twice as likely (odds ratio = 1.92, p <.01) to be hypertensive compared to heterosexual men. The elevated risk is not explained by measures of minority stress, nor by cardiovascular disease risk factors such as smoking, alcohol use, drug use, BMI, or physical activity. No differences in hypertension risk by sexual orientation were detected among female respondents. The results suggest that gay men face an excess risk for hypertension compared to heterosexual men that is not explained by differences in measured health behaviors.
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