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Sexual orientation and mortality among US men aged 17 to 59 years: Results from the National Health and Nutrition Examination Survey III

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  • Cochran, S.D.
  • Mays, V.M.

Abstract

Objectives: We investigated associations between minority sexual orientation and mortality among US men. Methods: We used data from a retrospective cohort of 5574 men aged 17 to 59 years, first interviewed in the National Health and Nutrition Examination Survey III (NHANES III; 1988-1994) and then followed for mortality status up to 18 years later. We classified men into 3 groups: those reporting (1) any same-sex sexual partners (men who have sex with men [MSM]; n=85), (2) only female sexual partners (n=5292), and (3) no sexual partners (n=197). Groups were then compared for all-cause mortality, HIV-related mortality, suicide-related mortality, and non-HIV-related mortality. Results: Compared with heterosexual men, MSM evidenced greater all-cause mortality. Approximately 13% of MSM died from HIV-related causes compared with 0.1% of men reporting only female partners. However, mortality risk from non-HIV-related causes, including suicide, was not elevated among MSM. Conclusions: In the United States, the HIV epidemic continues to be the major contributing factor for premature death rates among MSM. Cohorts such as the NHANES III offer a unique opportunity to track the effects of the HIV epidemic on this population.

Suggested Citation

  • Cochran, S.D. & Mays, V.M., 2011. "Sexual orientation and mortality among US men aged 17 to 59 years: Results from the National Health and Nutrition Examination Survey III," American Journal of Public Health, American Public Health Association, vol. 101(6), pages 1133-1138.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2010.300013_7
    DOI: 10.2105/AJPH.2010.300013
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    Cited by:

    1. Ludwing Flórez-Salamanca & Edwin Herazo & Heidi Celina Oviedo & Adalberto Campo-Arias, 2014. "Prevalence and Predictors of High Sexual Prejudice Among Medical Students From Two Colombian Cities," SAGE Open, , vol. 4(2), pages 21582440145, June.
    2. Shauna Stahlman & Ashley Grosso & Sosthenes Ketende & Vincent Pitche & Seni Kouanda & Nuha Ceesay & Henri G Ouedraogo & Odette Ky-Zerbo & Marcel Lougue & Daouda Diouf & Simplice Anato & Jules Tchalla , 2016. "Suicidal ideation among MSM in three West African countries: Associations with stigma and social capital," International Journal of Social Psychiatry, , vol. 62(6), pages 522-531, September.

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