Sexual identity differences in ideal cardiovascular health among cisgender adults in the All of Us Research Program.

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Title: Sexual identity differences in ideal cardiovascular health among cisgender adults in the All of Us Research Program.
Authors: Caceres, Billy A (AUTHOR), Sharma, Yashika (AUTHOR), Doan, Danny (AUTHOR), Ravindranath, Rohith (AUTHOR), Nguyen, Vince (AUTHOR), Ensari, Ipek (AUTHOR), Belloir, Joseph (AUTHOR), Lim, Yu Zheng (AUTHOR), Cook, Stephanie (AUTHOR)
Source: Annals of Behavioral Medicine. Jan2025, Vol. 59 Issue 1, p1-13. 13p.
Subjects: Sexual minorities, Cardiovascular diseases risk factors, Cardiovascular diseases, Cisgender people, Health equity, Gay identity, American Heart Association
Abstract: Background Cardiovascular health (CVH) disparities have been documented among sexual minority adults, yet prior research has focused on individual CVH metrics. We sought to examine sexual identity differences in CVH using the American Heart Association's composite measure of ideal CVH, which provides a more comprehensive assessment of future CVD risk. Methods Data from the All of Us Research Program were analyzed. Sexual identity was categorized as heterosexual, gay/lesbian, bisexual, or other. Individual CVH health metrics and cumulative ideal CVH (range 0-100) were assessed. We ran sex-stratified multiple linear regression models to estimate differences across individual CVH metrics and cumulative ideal CVH between sexual minority and heterosexual adults. We also explored differences in CVH across racial/ethnic and age groups. Results The sample included 11 047 cisgender adults with a mean age of 61.1 years (± 13.85); 80% were non-Hispanic White. Lesbian women, gay men, and bisexual women reported greater nicotine exposure than their heterosexual counterparts. Compared to heterosexual men, gay men (B [95% CI] = −8.95 [−14.50, −3.39]) had worse physical activity scores. Gay men also had better body mass index scores than heterosexual men (B [95% CI] = 3.21 [0.09, 6.33]). Bisexual women and men had lower cumulative ideal CVH scores than heterosexual adults. Exploratory analyses revealed several differences in individual CVH metrics and cumulative ideal CVH across racial/ethnic and age groups. Conclusions Clinical interventions to improve the CVH of bisexual adults are needed. Findings can inform the design of interventions that are tailored for specific subgroups of sexual minority adults. [ABSTRACT FROM AUTHOR]
Copyright of Annals of Behavioral Medicine is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Sexual identity differences in ideal cardiovascular health among cisgender adults in the All of Us Research Program.
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  Data: <searchLink fieldCode="AR" term="%22Caceres%2C+Billy+A%22">Caceres, Billy A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sharma%2C+Yashika%22">Sharma, Yashika</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Doan%2C+Danny%22">Doan, Danny</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ravindranath%2C+Rohith%22">Ravindranath, Rohith</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nguyen%2C+Vince%22">Nguyen, Vince</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ensari%2C+Ipek%22">Ensari, Ipek</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Belloir%2C+Joseph%22">Belloir, Joseph</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lim%2C+Yu+Zheng%22">Lim, Yu Zheng</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cook%2C+Stephanie%22">Cook, Stephanie</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Annals+of+Behavioral+Medicine%22">Annals of Behavioral Medicine</searchLink>. Jan2025, Vol. 59 Issue 1, p1-13. 13p.
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  Data: <searchLink fieldCode="DE" term="%22Sexual+minorities%22">Sexual minorities</searchLink><br /><searchLink fieldCode="DE" term="%22Cardiovascular+diseases+risk+factors%22">Cardiovascular diseases risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Cardiovascular+diseases%22">Cardiovascular diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Cisgender+people%22">Cisgender people</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Gay+identity%22">Gay identity</searchLink><br /><searchLink fieldCode="DE" term="%22American+Heart+Association%22">American Heart Association</searchLink>
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  Label: Abstract
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  Data: Background Cardiovascular health (CVH) disparities have been documented among sexual minority adults, yet prior research has focused on individual CVH metrics. We sought to examine sexual identity differences in CVH using the American Heart Association's composite measure of ideal CVH, which provides a more comprehensive assessment of future CVD risk. Methods Data from the All of Us Research Program were analyzed. Sexual identity was categorized as heterosexual, gay/lesbian, bisexual, or other. Individual CVH health metrics and cumulative ideal CVH (range 0-100) were assessed. We ran sex-stratified multiple linear regression models to estimate differences across individual CVH metrics and cumulative ideal CVH between sexual minority and heterosexual adults. We also explored differences in CVH across racial/ethnic and age groups. Results The sample included 11 047 cisgender adults with a mean age of 61.1 years (± 13.85); 80% were non-Hispanic White. Lesbian women, gay men, and bisexual women reported greater nicotine exposure than their heterosexual counterparts. Compared to heterosexual men, gay men (B [95% CI] = −8.95 [−14.50, −3.39]) had worse physical activity scores. Gay men also had better body mass index scores than heterosexual men (B [95% CI] = 3.21 [0.09, 6.33]). Bisexual women and men had lower cumulative ideal CVH scores than heterosexual adults. Exploratory analyses revealed several differences in individual CVH metrics and cumulative ideal CVH across racial/ethnic and age groups. Conclusions Clinical interventions to improve the CVH of bisexual adults are needed. Findings can inform the design of interventions that are tailored for specific subgroups of sexual minority adults. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Annals of Behavioral Medicine is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1093/abm/kaaf032
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      – SubjectFull: Sexual minorities
        Type: general
      – SubjectFull: Cardiovascular diseases risk factors
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      – SubjectFull: Cardiovascular diseases
        Type: general
      – SubjectFull: Cisgender people
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      – SubjectFull: Health equity
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      – SubjectFull: Gay identity
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      – SubjectFull: American Heart Association
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              Text: Jan2025
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