The DOI matches its Crossref record, with a small difference in title or year; 38 of the 38 references it cites were found in a registry or an index.
Sexual Minority Health and Health Risk Factors
Open accessAbstract
Introduction Although population studies have documented the poorer health outcomes of sexual minorities, few have taken an intersectionality approach to examine how sexual orientation, gender, and race jointly affect these outcomes. Moreover, little is known about how behavioral risks and healthcare access contribute to health disparities by sexual, gender, and racial identities. Methods Using ordered and binary logistic regression models in 2015, data from the 2013 and 2014 National Health Interview Surveys (n=62,302) were analyzed to study disparities in self-rated health and functional limitation. This study examined how gender and race interact with sexual identity to create health disparities, and how these disparities are attributable to differential exposure to behavioral risks and access to care. Results Conditional on sociodemographic factors, all sexual, gender, and racial minority groups, except straight white women, gay white men, and bisexual non-white men, reported worse self-rated health than straight white men (p<0.05). Some of these gaps were attributable to differences in behaviors and healthcare access. All female groups, as well as gay non-white men, were more likely to report a functional limitation than straight white men (p<0.05), and these gaps largely remained when behavioral risks and access to care were accounted for. The study also discusses health disparities within sexual, gender, and racial minority groups. Conclusions Sexual, gender, and racial identities interact with one another in a complex way to affect health experiences. Efforts to improve sexual minority health should consider heterogeneity in health risks and health outcomes among sexual minorities.
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“inequities in social, geographic, political, and health care factors contribute to differential disease and mortality risks across minoritized socioeconomic, racial and ethnic, and sexual and gender identities”
From Nurse-led approaches to address social determinants of health and advance health equity: A new framework and its implications (2023) · cites this paper as Hsieh & Ruther, 2016
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“Introduction Many studies indicate that sexual minorities have poorer health outcomes, including self-rated health (SRH), cardiovascular conditions, diabetes, functional limitations, and lifetime mood and anxiety disorders, relative to heterosexuals.(1-5) Sexual minorities are also more likely to exhibit health risks,…”
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Casey, L. S., Reisner, S. L., Findling, M. G., Blendon, R. J., Benson, J. M., Sayde, J. M., & Miller, C. (2019) · Health Services Research · doi:10.1111/1475-6773.13229 · Cited by 467
Diamond, L. M., & Alley, J. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104720 · Cited by 412
Kerridge, B. T., Pickering, R. P., Saha, T. D., Ruan, W. J., Chou, S. P., Zhang, H., Jung, J., & Hasin, D. S. (2016) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2016.10.038 · Cited by 270
Harari, L., & Lee, C. (2021) · Social Science & Medicine · doi:10.1016/j.socscimed.2021.113876 · Cited by 291
Trinh, M.-H., Agénor, M., Austin, S. B., & Jackson, C. L. (2017) · BMC Public Health · doi:10.1186/s12889-017-4937-9 · Cited by 177
Metadata
- Authors
- Hsieh, N., & Ruther, M.
- Affiliations
- Michigan State University (US)
- University of Louisville (US)
- Corresponding author
- Hsieh, Ning
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2016-06
- Volume
- 50
- Issue
- 6
- Pages
- 746-755
- ISSN
- 0749-3797 (ISSN-L)
- PMC
- PMC4875806
- OpenAlex
- W2270771702
- Cited by
- 152
- References
- 38
- Citations by year
- 2026: 6 · 2025: 21 · 2024: 19 · 2023: 16 · 2022: 17 · 2021: 22 · 2020: 14 · 2019: 12 · 2018: 8 · 2017: 11 · 2016: 6
- FWCI
- 19.39
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- American Journal of Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (P30AG012857, T32AG000243)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Social Sciences › Health › Health disparities and outcomes
- Social Sciences › Sociology and Political Science › Gender, Health, and Social Inequality
- Keywords
- sexual minority health, health disparities, intersectionality, sexual orientation, gender identity, race, self-rated health, functional limitations, health risk behaviors, health care access, bisexual men, gay men, lesbians, National Health Interview Survey
- MeSH terms
- Sexual and Gender Minorities, Adult, Female, Health Surveys, Humans, Male, Middle Aged, Sexual Behavior, Racial Groups, Health Status Disparities
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