Sexual minority health disparities: an examination of age-related trends across adulthood in a national cross-sectional sample

Annals of Epidemiology
Cara E RiceStephanie T Lanza

Abstract

Sexual minorities experience significant health disparities across a variety of mental, behavioral, and physical health indicators. Yet, an understanding of the etiology and progression of sexual minority health disparities across the lifespan is limited. We used the U.S. National Epidemiologic Survey of Alcohol and Related Conditions III to evaluate the association between sexual minority status and seven past-year health outcomes (alcohol use disorder, tobacco use disorder, drug use disorder, major depressive episode, generalized anxiety disorder, sexually transmitted infection, and cardiovascular conditions). To do this, we used unadjusted and adjusted logistic regression among our study sample (n = 30,999; aged 18-65 years) and time-varying effect models to evaluate how sexual orientation differences in these outcomes vary across adulthood. Relative to heterosexuals, sexual minorities had elevated odds of past-year alcohol use disorder and drug use disorder across all ages (18-65 years) although the magnitude of the disparity varies by age. Sexual minorities were also more likely to experience major depressive episode, generalized anxiety disorder, tobacco use disorder, sexually transmitted infection, and cardiovascular dis...Continue Reading

Citations

Sep 25, 2020·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Allegra R GordonStephen T Russell
Mar 1, 2020·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Neeru Gupta, Zihao Sheng
Sep 5, 2020·Journal of Gay & Lesbian Mental Health·Audrey HarknessJohn E Pachankis
Oct 1, 2020·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Luisa KcomtSean Esteban McCabe
Apr 23, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·John E PachankisDeborah Levine
Apr 18, 2021·The Journals of Gerontology. Series B, Psychological Sciences and Social Sciences·Luisa KcomtSean Esteban McCabe
Jul 17, 2021·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Emma WedellUNKNOWN Cross-Cultural Addictions Study Team
Aug 12, 2021·Urology·Rand N Wilcox Vanden BergBashir Al Hussein Al Awamlh

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