Relationships between Sexual Orientation, Weight, and Health in a Population-Based Sample of California Women

Eliason, Michèle J.; Sanchez‐Vaznaugh, Emma V.; Stupplebeen, David A.

doi:10.1016/j.whi.2017.04.004

Cited by 8 publications

(13 citation statements)

References 43 publications

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“…Some work has found that relative to heterosexual men and women, sexual minority women but not men had an elevated CVD rate (Fredriksen-Golden et al 2013;Jackson et al 2016). Other work, including a review of the literature, has found few to no differences across sexual orientation groups (Caceres et al 2017;Conron et al 2010;Eliason et al 2017).…”

Section: Marital Status Sexual Orientation and Healthmentioning

confidence: 99%

Does Sexual Orientation Complicate the Relationship Between Marital Status and Gender With Self-rated Health and Cardiovascular Disease?

2020

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A substantial body of work has demonstrated the importance of marital status for health, yet the vast majority of this work has studied heterosexual marriages and relationships. To understand the role of marital status in shaping health among heterosexual, lesbian, gay, and bisexual men and women, we examine data from a probability-based sample of adults living in 40 U.S. states for selected years between 2011–2015. We test two physical health outcomes—poor-to-fair self-rated health and cardiovascular disease—and present predicted probabilities and pairwise comparisons from logistic regression models before and after adjustment for demographic characteristics, socioeconomic status, health behaviors, and depression. Overall, findings reveal some important similarities and differences in the relationships between marital status and health by sexual orientation and gender. First, the health benefits of marriage extend to sexual minority adults, relative to adults who are either formerly or never married. Among heterosexual adults, adjusted models also highlight the healthy status of never-married adults. Second, the health benefits associated with intimate relationships appear less dependent on legal marriage among sexual minorities than among heterosexual adults. Third, we document a persistent health disadvantage for bisexual adults compared with heterosexual adults, particularly among women who are formerly married, indicating some elevated health vulnerability among selected sexual minority women. Fourth, associations between sexual orientation and health are more similar across marital status groups for men than women. Altogether, these findings add much needed nuance to our understanding of the association between marital status and health in an era of increasing diversity in adult relationships.

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Section: Marital Status Sexual Orientation and Healthmentioning

confidence: 99%

Does Sexual Orientation Complicate the Relationship Between Marital Status and Gender With Self-rated Health and Cardiovascular Disease?

2020

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“…37–41 Finally, 44 studies were included. 9,13,26,28,31,36 –39,41 –74 The vast majority (39/44) derived from large national (or regional) representative health surveys 9,13,28,31,36 –39,41 –47,49,50,53 …”

Section: Resultsmentioning

confidence: 99%

“…We excluded some data on arthritis, 47 asthma, 47 cancer, 40,47,56,58,75 chronic obstructive pulmonary disease (COPD) and other chronic respiratory conditions, 47 CVD, 76 diabetes, 40,47,75 hypertension, 40,75 miscarriage, 74 and stroke 40,75 since none of the above-mentioned criteria for retaining comparisons ((1)–(4), section “Methods”) applied to them. The predetermined threshold to perform meta-analysis (⩾2 non-overlapping weighted studies on the same health condition) was met for eleven health conditions (in order of appearance): heart attacks, 47,55,67 hypertension, 13,31,37,38,54,60,66,72,73 stroke, 47,73 asthma, 37,38,43,54 –56,58,60,66,67 chronic kidney diseases, 47,60 diabetes, 31,37,38,43,46,52,53,60,64,66,73 arthritis, 13,28,37,…”

Section: Resultsmentioning

confidence: 99%

Comprehensive systematic review and meta-analysis on physical health conditions in lesbian- and bisexual-identified women compared with heterosexual-identified women

Haarmann,

Folkerts,

Lieker

et al. 2023

Womens Health (Lond Engl)

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Background: Sexual minority individuals experience discrimination, leading to mental health disparities. Physical health disparities have not been examined to the same extent in systematic reviews so far. Objectives: To provide a systematic review and, where possible, meta-analyses on the prevalence of physical health conditions in sexual minority women (i.e. lesbian- and bisexual-identified women) compared to heterosexual-identified women. Design: The study design is a systematic review with meta-analyses. Data Sources and Methods: A systematic literature search in MEDLINE, EMBASE, CENTRAL, CINAHL, and Web of Science databases was conducted on epidemiologic studies on physical health conditions, classified in the Global Burden of Disease project, published between 2000 and 2021. Meta-analyses pooling odds ratios were calculated. Results: In total, 23,649 abstracts were screened and 44 studies were included in the systematic review. Meta-analyses were run for arthritis, asthma, back pain, cancer, chronic kidney diseases, diabetes, headache disorders, heart attacks, hepatitis, hypertension, and stroke. Most significant differences in prevalence by sexual identity were found for chronic respiratory conditions, especially asthma. Overall, sexual minority women were significantly 1.5–2 times more likely to have asthma than heterosexual women. Furthermore, evidence of higher prevalence in sexual minority compared to heterosexual women was found for back pain, headaches/migraines, hepatitis B/C, periodontitis, urinary tract infections, and acne. In contrast, bisexual women had lower cancer rates. Overall, sexual minority women had lower odds of heart attacks, diabetes, and hypertension than heterosexual women (in terms of diabetes and hypertension possibly due to non-consideration of pregnancy-related conditions). Conclusion: We found evidence for physical health disparities by sexual identity. Since some of these findings rely on few comparisons only, this review emphasizes the need for routinely including sexual identity assessment in health research and clinical practice. Providing a more detailed picture of the prevalence of physical health conditions in sexual minority women may ultimately contribute to reducing health disparities.

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“…Research shows that lesbians and bisexual women, as compared with heterosexual women, are more likely to be overweight or obese [15]. They are also more likely to drink, smoke, or use drugs, which, along with increased body weight, puts LGBTQ+ women at an elevated risk for other conditions such as cardiovascular disease, certain types of cancer, and type 2 diabetes [15,16].…”

Section: Introductionmentioning

confidence: 99%

LGBTQ+ health research guides at North American health sciences libraries: a survey and content analysis

Stevens

Fajardo

2021

jmla

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Objectives: Current literature recommends online research guides as an easy and effective tool to promote LGBTQ+ health information to both health care providers and the public. This cross-sectional study was designed to determine how extensive LGBTQ+ health guides are among hospital and academic libraries and which features are most prevalent.Methods: In order to locate LGBTQ+ health guides for content analysis, we searched for guides on the websites of libraries belonging to the Association of Academic Health Sciences Libraries (AAHSL) and the Canadian Association of Research Libraries (CARL). Additionally, we searched the Springshare interface for LibGuides with the word “health” and either “LGBT” or “transgender.” Content analysis was performed to identify major characteristics of the located guides, including target audience and the information type provided.Results: LGBTQ+ research guides were identified for 74 libraries. Of these, 5 were hospital libraries, and the rest were academic libraries. Of 158 AAHSL member libraries, 48 (30.4%) had LGBTQ+ guides on their websites. Nearly all guides (95.9%) provided general LGBTQ+ health information, and a large majority (87.8%) also had information resources for transgender health. Smaller percentages of guides contained information on HIV/AIDS (48.6%) and women’s health (16.2%).Conclusions: Even though literature recommends creating LGBTQ+ health guides, most health sciences libraries are missing an opportunity by not developing and maintaining these guides. Further research may be needed to determine the usage and usefulness of existing guides and to better identify barriers preventing libraries from creating guides.

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Relationships between Sexual Orientation, Weight, and Health in a Population-Based Sample of California Women

Abstract: This study underscores the importance of disaggregating analyses by sexual identity in studies that examine weight-chronic disease associations.

Cited by 8 publications

References 43 publications

Does Sexual Orientation Complicate the Relationship Between Marital Status and Gender With Self-rated Health and Cardiovascular Disease?

Does Sexual Orientation Complicate the Relationship Between Marital Status and Gender With Self-rated Health and Cardiovascular Disease?

Comprehensive systematic review and meta-analysis on physical health conditions in lesbian- and bisexual-identified women compared with heterosexual-identified women

LGBTQ+ health research guides at North American health sciences libraries: a survey and content analysis

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