Austin Anna, Herrick Harry, Proescholdbell Scott
At the time of the study, Anna Austin and Scott Proescholdbell were with the Injury Epidemiology and Surveillance Unit, Injury and Violence Prevention Branch, Chronic Disease and Injury Section, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh. Harry Herrick was with the Behavioral Risk Factor Surveillance System, State Center for Health Statistics, Division of Public Health, North Carolina Department of Health and Human Services, Raleigh.
Am J Public Health. 2016 Feb;106(2):314-20. doi: 10.2105/AJPH.2015.302904. Epub 2015 Dec 21.
We explored the association of sexual orientation with poor adult health outcomes before and after adjustment for exposure to adverse childhood experiences (ACEs).
Data were from the 2012 North Carolina, 2011 Washington, and 2011 and 2012 Wisconsin Behavioral Risk Factor Surveillance System (BRFSS) surveys regarding health risks, perceived poor health, and chronic conditions by sexual orientation and 8 categories of ACEs. There were 711 lesbian, gay, and bisexual (LGB) respondents and 29,690 heterosexual respondents.
LGB individuals had a higher prevalence of all ACEs than heterosexuals, with odds ratios ranging from 1.4 to 3.1. After adjustment for cumulative exposure to ACEs, sexual orientation was no longer associated with poor physical health, current smoking, and binge drinking. Associations with poor mental health, activity limitation, HIV risk behaviors, current asthma, depression, and disability remained, but were attenuated.
The higher prevalence of ACEs among LGB individuals may account for some of their excess risk for poor adult health outcomes.
我们探讨了在调整童年不良经历（ACEs）暴露因素前后，性取向与成年人健康状况不佳之间的关联。
数据来自2012年北卡罗来纳州、2011年华盛顿州以及2011年和2012年威斯康星州行为风险因素监测系统（BRFSS）的调查，内容涉及按性取向和8类ACEs划分的健康风险、自我感觉健康不佳及慢性病情况。共有711名女同性恋、男同性恋和双性恋（LGB）受访者以及29,690名异性恋受访者。
LGB个体各类ACEs的患病率均高于异性恋者，优势比在1.4至3.1之间。在调整ACEs的累积暴露因素后，性取向与身体健康不佳、当前吸烟及暴饮之间不再存在关联。与心理健康不佳、活动受限、HIV风险行为、当前哮喘、抑郁及残疾之间的关联依然存在，但有所减弱。
LGB个体中ACEs的较高患病率可能是其成年后健康状况不佳风险过高的部分原因。
