Differences in Hypertension by Sexual Orientation Among U.S. Young Adults
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Using a nationally representative data set, this study provides the first estimates of differences in hypertension by sexual orientation using objective measures of systolic and diastolic blood pressure. Logistic regressions showed that there were no differences in hypertensive risk between mostly heterosexual/bisexual identified-respondents and heterosexual-identified respondents among both men and women. Gay men, however, are almost twice as likely (odds ratio = 1.92, p < .01) to be hypertensive compared to heterosexual men. The elevated risk is not explained by measures of minority stress, nor by cardiovascular disease risk factors such as smoking, alcohol use, drug use, BMI, or physical activity. No differences in hypertension risk by sexual orientation were detected among female respondents. The results suggest that gay men face an excess risk for hypertension compared to heterosexual men that is not explained by differences in measured health behaviors.
KeywordsHypertension Sexual orientation Lesbians Gays Health behavior
- 1.Center for Disease Control. (2011). Vital signs: Prevalence, treatment, and control of hypertension—United States, 1999–2002 and 2005–2008. Morbidity Mortality Weekly Report, 60, 103–108.Google Scholar
- 3.Brummett, B. H., Babyak, M. A., Siegler, I. C., et al. (2011). Systolic blood pressure, socioeconomic status, and biobehavioral risk factors in a Nationally Representative US Young Adults Sample. Hypertension (published online ahead of print August 2012). doi:10.1161/HYPERTENSIONAHA.111.171272.
- 4.Richardson, L. J., Hussey, J. M., & Strutz, K. L. (2011). Origins of disparities in cardiovascular disease: Birth weight, body mass index, and young adult systolic blood pressure in the National Longitudinal Study of Adolescent Health. Annals of Epidemiology, 21, 598–607.PubMedCrossRefGoogle Scholar
- 5.U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion (US DHHS). (2011). Healthy people 2020 topics and objectives: Lesbian, gay, bisexual, and transgender health. doi:http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=25.
- 6.Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender (LGBT) people: Building a foundation for better understanding. Washington, DC: National Academies Press.Google Scholar
- 17.Wolitski, R. J., Stall, R., & Valdiserri, R. O. (2008). Unequal opportunity: Health disparities affecting gay and bisexual males in the United States. Oxford, UK: Oxford University Press.Google Scholar
- 22.Ryan, A. M., Gee, G. C., & Laflamme, D. F. (2006). The association between self-reported discrimination, physical health, and blood pressure: Findings from African Americans, black immigrants, and Latino immigrants in New Hampshire. Journal of Health Care for the Poor and Underserved, 17(2), 116–132.Google Scholar
- 37.Haapanen-Niemi, N., Miilunpalo, S., Pasanen, M., et al. (2000). Body mass index, physical inactivity and low level of physical fitness as determinants of all-cause and cardiovascular disease mortality—16 y follow-up of middle-aged and elderly males and females. International Journal of Obesity and Related Metabolic Disorders, 24, 1465–1474.PubMedCrossRefGoogle Scholar
- 39.Bearman, P. S., Jones, J., & Udry, J. R. (1997). The National Longitudinal Study of Adolescent Health: Research design. Available at: http://www.cpc.unc.edu/projects/addhealth/design.html.
- 40.U.S. Department of Health and Human Services [US DHHS]. (2003). The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7). NIH Publication No. 03-5233. Washington, DC: National Institute of Health.Google Scholar
- 42.World Health Organization (WHO). (2000). Obesity: Preventing and managing the global epidemic. WHO technical report series.Google Scholar