作者: Mark L. Hatzenbuehler , Katie A. McLaughlin , Natalie Slopen
DOI: 10.1016/J.AMEPRE.2013.01.027
关键词: Medicine 、 Adolescent health 、 Young adult 、 Population 、 Lesbian 、 Life course approach 、 Risk assessment 、 Longitudinal study 、 Gerontology 、 Sexual orientation
摘要: Background Emerging evidence from general population studies suggests that lesbian, gay, and bisexual (LGB) adults are more likely to experience adverse cardiovascular outcomes relative heterosexuals. No have examined whether sexual orientation disparities exist in biomarkers of early disease risk. Purpose To determine risk present among young adults. Methods Data come Wave IV (2008–2009) the National Longitudinal Study for Adolescent Health (N=12,451), a prospective nationally representative study U.S. adolescents followed into adulthood (mean age=28.9 years). A total 520 respondents identified as or bisexual. Biomarkers included C-reactive protein, glycosylated hemoglobin, systolic diastolic blood pressure, pulse rate. Analyses were conducted 2012. Results In gender-stratified models adjusted demographics (age, race/ethnicity); SES (income, education); health behaviors (smoking, regular physical activity, alcohol consumption); BMI, gay men had significant elevations rate, compared heterosexual men. Despite having factors disease, including smoking, heavy consumption, higher lesbians women lower levels protein than fully models. Conclusions Evidence was found adults, particularly These findings, if confirmed other studies, suggest disruptions core physiologic processes ultimately confer may occur life course sexual-minority