Objective. We sought to determine whether lesbians have higher rates of overweight and obesity than women of other sexual orientations.Methods. We compared population estimates of overweight and obesity across sexual orientation groups, using data from the 2002 National Survey of Family Growth.Results. Adjusted multinomial logistic regression analyses showed lesbians have more than twice the odds of overweight (odds ratio [OR] = 2.69; 95% confidence interval [CI] = 1.40, 5.18) and obesity (OR = 2.47; 95% CI = 1.19, 5.09) as heterosexual women. Bisexuals and women who reported their sexual orientation as "something else" (besides heterosexual, lesbian, or bisexual) showed no such increase in the odds of overweight and obesity.Conclusions. Lesbian women have a higher prevalence of overweight and obesity than all other female sexual orientation groups. This finding suggests that lesbians are at greater risk for morbidity and mortality linked to overweight and obesity. This finding also highlights the need for interventions within this popu- For women in the US general population, the correlates of obesity are increasing age, low education, or low economic status.
2,19-21Black and Hispanic women have higher rates of overweight and obesity than do White women.2,22-24 Among White, Black, and Hispanic women, childbearing has been linked to weight gain. [25][26][27][28][29] Nativity has also been identified as a correlate of excess body fat: immigrants tend to have a lower BMI; however, this health advantage disappears as the length of residence in the United States increases.
30-36Existing treatments and interventions focus on reducing energy intake by changing nutritional habits and increasing physical activity.
37Because obesity is particularly prevalent in Black and Hispanic women, several interventions have targeted these specific groups. [38][39][40] By comparison, there are no interventions that target sexual-minority women. Whether a need for interventions that specifically target sexual-minority women exists depends on the confirmation that lesbians have a higher prevalence of overweight and obesity compared with other sexual orientation groups.We used population-based data to test the hypothesis that lesbians have higher rates of overweight and obesity compared with