Differences in Chronic Disease Behavioral Indicators by Sexual Orientation and Sex

Details

• Alternative Title:
  J Public Health Manag Pract
• Personal Author:
  Minnis, Alexandra M. ; Catellier, Diane ; Kent, Charlotte ; Ethier, Kathleen A. ; Soler, Robin E. ; Heirendt, Wendy ; Halpern, Michael T. ; Rogers, Todd
• Description:
  Context ; Lesbian, gay, and bisexual (LGB) populations experience significant health inequities in preventive behaviors and chronic disease compared with non-LGB populations. ; Objectives ; To examine differences in physical activity and diet by sexual orientation and sex subgroups and to assess the influences of home and neighborhood environments on these relationships. ; Design ; A population-based survey conducted in 2013–2014. ; Setting ; A stratified, simple, random sample of households in 20 sites in the United States. ; Participants ; A total of 21 322 adult LGB and straight-identified men and women. ; Outcome Measures ; Any leisure-time physical activity in the past month; physical activity 150 min/wk or more; daily frequency of consumption of vegetables, fruit, water, and sugar-sweetened beverages; and the number of meals prepared away from home in the past 7 days. ; Results ; Physical activity and diet varied by sexual orientation and sex; differences persisted after adjusting for sociodemographic factors and household and community environments. Bisexual men reported a higher odds of engaging in frequent physical activity than straight men (odds ratio OR = 3.10; 95% confidence interval CI, 1.57–6.14), as did bisexual women compared with straight women (OR = 1.84; 95% CI, 1.20–2.80). LGB subgroups reported residing in more favorable walking and cycling environments. In contrast, gay men and lesbian and bisexual women reported a less favorable community eating environment (availability, affordability, and quality of fruit and vegetables) and a lower frequency of having fruit or vegetables in the home. Lesbian women reported lower daily vegetable consumption (1.79 vs 2.00 mean times per day; difference = −0.21; 95% CI, −0.03 to −0.38), and gay men reported consumption of more meals prepared away from home (3.17 vs 2.63; difference = 0.53; 95% CI, 0.11–0.95) than straight women and men, respectively. Gay men and lesbian and bisexual women reported a higher odds of sugar-sweetened beverage consumption than straight men and women. ; Conclusions ; Findings highlight opportunities for targeted approaches to promote physical activity and mitigate differences in diet to reduce health inequities.
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• Keywords:
  • diet
  • health inequities
  • physical activity
  • sexual orientation
  • Adolescent
  • Adult
  • Aged
  • Chronic Disease
  • Diet
  • Exercise
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• Source:
  J Public Health Manag Pract. 22(Suppl 1):S25-S32
• Pubmed ID:
  26599026
• Pubmed Central ID:
  PMC4784428
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  22
• Download URL:
  https://stacks.cdc.gov/view/cdc/38401/cdc_38401_DS1.pdf
• File Type:
  [PDF - 174.28 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:c98cc42d58413f04411d72bf38c5399818f0b9bbfe3434b2dca2921352f3a720