Disparities in Health Risk Behavior and Psychological Distress Among Gay Versus Heterosexual Male Cancer Survivors.
Disparities in Health Risk Behavior and Psychological Distress Among Gay Versus Heterosexual Male Cancer Survivors.
复制标题
DOI：
10.1089/lgbt.2013.0022
复制
发表时间：
2014-06
期刊：
影响因子：
4.8
通讯作者：
Mustian K
中科院分区：
文献类型：
--
作者：
Kamen C;Palesh O;Gerry AA;Andrykowski MA;Heckler C;Mohile S;Morrow GR;Bowen D;Mustian K
研究发现，男同性恋者的癌症诊断率高于异性恋者，癌症诊断后的结果也较差。本研究的两个目的是检查同性恋和异性恋男性的全国样本中的癌症诊断率，并检查同性恋和异性恋男性以及同性恋和异性恋癌症幸存者之间的健康风险行为的差异。目前的研究使用了14,354名男性的样本数据，其中包括373名男同性恋者，这些数据是2009年在亚利桑那州、加州、马萨诸塞州、俄亥俄州和威斯康星州进行的行为风险因素监测系统调查的一部分。这项研究重复了同性恋和异性恋男性之间自我报告的癌症诊断患病率显着不同的发现，同性恋男性报告终身癌症诊断史的可能性高出82%（p < .05）;然而，在控制了免疫系统代理变量后，这种差异变得不显着（p = .06）。男同性恋者比异性恋者更有可能报告健康风险行为，包括运动时间更少，更多的心理困扰，更多的当前饮酒，更多的当前吸烟，以及终生吸烟史。在癌症诊断后，同性恋癌症幸存者在健康风险行为方面的一些差异仍然存在。这项研究提供了一个关于行为风险因素的观点，这些因素以前被证明在同性恋男性中可能会在癌症诊断后继续存在。未来的研究应该测试这些差异在多大程度上是由于少数民族的压力，因为以前的研究表明，性少数人群中增加的健康风险行为可能是由于暴露于慢性压力和歧视。开发行为改变干预措施来解决这些风险行为对于改善男同性恋者的癌症结局至关重要。
Gay men have been found to have higher rates of cancer diagnoses than heterosexual men and poorer outcomes post-cancer diagnosis. The two purposes of this study are to examine rates of cancer diagnosis in a national sample of gay and heterosexual men, and to examine disparities in health risk behavior between gay and heterosexual men and gay and heterosexual cancer survivors. The current study utilized data from a total sample of 14,354 men, including 373 gay men, collected as part of the Behavioral Risk Factor Surveillance System survey conducted in 2009 in the states of Arizona, California, Massachusetts, Ohio, and Wisconsin. This study replicated the finding that prevalence of self-reported cancer diagnoses differed significantly between gay and heterosexual men, with gay men 82% more likely to report a lifetime history of cancer diagnosis (p < .05); however, this disparity became non-significant after controlling for a weakened immune system proxy variable (p = .06). Gay men were more likely than heterosexual men to report health risk behaviors including less time spent exercising, more psychological distress, more current alcohol use, more current smoking, and a lifetime history of smoking. Some of these disparities in health risk behavior persisted for gay cancer survivors post-cancer diagnosis. This study offers a perspective on behavioral risk factors previously shown to be higher among gay men that may continue post-cancer diagnosis. Future research should test the degree to which these disparities are due to minority stress, as previous studies have indicated that increased health risk behaviors among sexual minority populations may result from exposure to chronic stress and discrimination. Developing behavior change interventions to address these risk behaviors is vital for improving cancer outcomes among gay men.
登录
查看更多内容
影响因子：
5
作者：
Frisch, M;Smith, E;Johansen, C
通讯作者：
Johansen, C
影响因子：
2.8
作者：
Kaminski, Patricia L;Chapman, Benjamin P;Own, Lawrence
通讯作者：
Own, Lawrence
影响因子：
4.6
作者：
Palefsky, Joel
通讯作者：
Palefsky, Joel
DOI：
10.1093/jnci/86.17.1340
发表时间：
1994-09-07
期刊：
JOURNAL OF THE NATIONAL CANCER INSTITUTE
影响因子：
--
作者：
BROWN, LM;HOOVER, RN;POTTERN, LM
通讯作者：
POTTERN, LM
影响因子：
4.7
作者：
Hamer, Mark;Chida, Yoichi;Molloy, Gerard J.
通讯作者：
Molloy, Gerard J.