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A Comparative Analysis of Lifetime Medical Conditions and Infectious Diseases by Sexual Identity, Attraction, and Concordance among Women: Results from a National U.S. Survey

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  • Kelly Horn

    (Jane Addams College of Social Work, University of Illinois at Chicago, Chicago, IL 60607, USA)

  • James A. Swartz

    (Jane Addams College of Social Work, University of Illinois at Chicago, Chicago, IL 60607, USA)

Abstract

There have been limited studies assessing the differences in chronic health conditions between sexual minority (those who identify as lesbian or bisexual) and sexual majority (heterosexual) women. Research has primarily focused on overall physical and mental health or behavioral issues and not on specific health conditions. The addition of sexual orientation and attraction questions to the National Survey on Drug Use and Health (NSDUH) now allows for research regarding health conditions using a national survey that identifies participant sexual orientation and attraction. This study sought to compare the prevalence/odds of having 10 medical conditions/infectious diseases among women, assessing for differences associated with sexual identity, sexual attraction, and the degree of concordance between sexual identity and attraction. Data from 67,648 adult female participants in the 2015–2017 NSDUH survey were analyzed using bivariate and multivariable logistic regression models to assess for differences in prevalence/odds of seven medical conditions. Multivariable models adjusted for demographics, substance abuse/dependence, and mental illness. We found significant differences by sexual identity, but not sexual attraction or concordance. Compared with heterosexually identified women, women who identified as bisexual had significantly higher odds of having three medical conditions and two infectious diseases than heterosexual or lesbian women. The findings generally support those based on studies using more limited geographical samples. There are a number of potential associated and underlying factors that contribute to bisexual women reporting overall poorer health than heterosexual or lesbian women. The factors discussed include stigma, delays in seeking care, lack of insurance and access, and sexual minority women receiving poorer health care generally.

Suggested Citation

  • Kelly Horn & James A. Swartz, 2019. "A Comparative Analysis of Lifetime Medical Conditions and Infectious Diseases by Sexual Identity, Attraction, and Concordance among Women: Results from a National U.S. Survey," IJERPH, MDPI, vol. 16(8), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:8:p:1399-:d:223891
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    1. repec:aph:ajpbhl:10.2105/ajph.2016.303630_8 is not listed on IDEAS
    2. Conron, K.J. & Mimiaga, M.J. & Landers, S.J., 2010. "A population-based study of sexual orientation identity and gender differences in adult health," American Journal of Public Health, American Public Health Association, vol. 100(10), pages 1953-1960.
    3. Boehmer, U. & Miao, X. & Linkletter, C. & Clark, M.A., 2012. "Adult health behaviors over the life course by sexual orientation," American Journal of Public Health, American Public Health Association, vol. 102(2), pages 292-300.
    4. Persson, Tonje J. & Pfaus, James G. & Ryder, Andrew G., 2015. "Explaining mental health disparities for non-monosexual women: Abuse history and risky sex, or the burdens of non-disclosure?," Social Science & Medicine, Elsevier, vol. 128(C), pages 366-373.
    5. Smith, E.M. & Johnson, S.R. & Guenther, S.M., 1985. "Health care attitudes and experiences during gynecologic care among lesbians and bisexuals," American Journal of Public Health, American Public Health Association, vol. 75(9), pages 1085-1087.
    6. Bridget Gorman & Justin Denney & Hilary Dowdy & Rose Medeiros, 2015. "A New Piece of the Puzzle: Sexual Orientation, Gender, and Physical Health Status," Demography, Springer;Population Association of America (PAA), vol. 52(4), pages 1357-1382, August.
    7. Caceres, B.A. & Brody, A. & Luscombe, R.E. & Primiano, J.E. & Marusca, P. & Sitts, E.M. & Chyun, D., 2017. "A systematic review of cardiovascular disease in sexual minorities," American Journal of Public Health, American Public Health Association, vol. 107(4), pages 13-21.
    8. Fredriksen-Goldsen, K.I. & Kim, H.-J. & Barkan, S.E. & Balsam, K.F. & Mincer, S.L., 2010. "Disparities in health-related quality of life: A comparison of lesbians and bisexual women," American Journal of Public Health, American Public Health Association, vol. 100(11), pages 2255-2261.
    9. Landers, S.J. & Mimiaga, M.J. & Conron, K.J., 2011. "Sexual orientation differences in asthma correlates in a population-based sample of adults," American Journal of Public Health, American Public Health Association, vol. 101(12), pages 2238-2241.
    10. Cochran, S.D. & Mays, V.M., 2007. "Physical health complaints among lesbians, gay men, and bisexual and homosexually experienced heterosexual individuals: Results from the California quality of life survey," American Journal of Public Health, American Public Health Association, vol. 97(11), pages 2048-2055.
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