Disparities by Sexual Orientation in Frequent Engagement in Cancer-Related Risk Behaviors: A 12-Year Follow-Up.
Disparities by Sexual Orientation in Frequent Engagement in Cancer-Related Risk Behaviors: A 12-Year Follow-Up.
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DOI：
10.2105/ajph.2015.302977
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发表时间：
2016-04
影响因子：
12.7
通讯作者：
Austin SB
中科院分区：
文献类型：
--
作者：
Rosario M;Li F;Wypij D;Roberts AL;Corliss HL;Charlton BM;Frazier AL;Austin SB
我们研究了性取向的差异，在烟草，酒精，饮食和身体活动，紫外线辐射和性传播感染（STI）的癌症相关风险指标的频繁参与。我们使用的纵向数据来自国家成长研究（1999-2010）。分析样品（N| =| 9958），1.8%是女同性恋或男同性恋（LG），1.6%是双性恋（BI），12.1%是异性恋（MH），84.5%是完全异性恋（CH）。与CH相比，更多的性少数群体（LG，BI和MH）经常从事多种癌症相关的风险行为（分别为33%，29%，28%和19%）。性少数的年轻女性，特别是BI和MH，报告更频繁的参与随着时间的推移，在物质使用和饮食和体力活动的风险比CH妇女。随着时间的推移，更多的年轻同性恋者比CH男性更频繁地进行呕吐以控制体重（比值比[OR]）。|=| 3.2; 95%置信区间[CI]|=| 1.1、9.4），身体不活动（或|=| 1.7; 95% CI| =| 1.2，2.4），并使用晒黑亭（或|=| 4.7; 95% CI| =| 3.0，7.4），并有较高的患病率，曾经有一个STI（或|=| 3.5; 95% CI| =| 2.0、6.4）。个体分析通常与组水平分析相当。随着时间的推移，年轻的性少数群体由于频繁接触与癌症相关的风险行为而面临癌症风险。长期的纵向研究和监测数据是必不可少的，并有必要跟踪频繁参与的风险行为和癌症相关的发病率和死亡率。
We examined sexual-orientation disparities in frequent engagement in cancer-related risk indicators of tobacco, alcohol, diet and physical activity, ultraviolet radiation, and sexually transmitted infections (STIs). We used longitudinal data from the national Growing Up Today Study (1999–2010). Of the analytic sample (N|=|9958), 1.8% were lesbian or gay (LG), 1.6% bisexual (BI), 12.1% mostly heterosexual (MH), and 84.5% completely heterosexual (CH). More sexual minorities (LGs, BIs, and MHs) than CHs frequently engaged in multiple cancer-related risk behaviors (33%, 29%, 28%, and 19%, respectively). Sexual-minority young women, especially BI and MH, reported more frequent engagement over time in substance use and diet and physical activity risk than CH women. More young gay than CH men frequently engaged over time in vomiting for weight control (odds ratio [OR]|=|3.2; 95% confidence interval [CI]|=|1.1, 9.4), being physically inactive (OR|=|1.7; 95% CI|=|1.2, 2.4), and using tanning booths (OR|=|4.7; 95% CI|=|3.0, 7.4), and had a higher prevalence of ever having an STI (OR|=|3.5; 95% CI|=|2.0, 6.4). Individual analyses were generally comparable to the group-level analyses. Young sexual minorities are at risk for cancer through frequent exposure to cancer-related risk behaviors over time. Long-term, longitudinal studies and surveillance data are essential and warranted to track frequent engagement in the risk behaviors and cancer-related morbidity and mortality.