Curry Caleb W, Felt Dylan, Beach Lauren B, Ruprecht Megan M, Wang Xinzi, Phillips Gregory L
Caleb W. Curry, Dylan Felt, Lauren B. Beach, Megan M. Ruprecht, Xinzi Wang, and Gregory L. Phillips II are with the Department of Medical Social Sciences and the Evaluation, Data Integration, and Technical Assistance Program at Northwestern University, Chicago, IL. Caleb W. Curry is also affiliated with Case Western Reserve University, Cleveland, OH.
Am J Public Health. 2020 May 21;110(7):e1-e8. doi: 10.2105/AJPH.2020.305664.
To comprehensively assess asthma disparities and identify correlates in youths at the intersections of sex, sexual identity, and race/ethnicity in the United States. We obtained a diverse sample of youths (n = 307 073) from the Centers for Disease Control and Prevention's Youth Risk Behavior Survey. We pooled data across 107 jurisdiction-years (2009-2017). We calculated lifetime asthma prevalence by sexual identity, race/ethnicity, and their intersections-stratified by sex. We developed multivariable weighted logistic regression models to examine the impact of selected correlates on lifetime asthma prevalence. Lesbian, gay, and bisexual youths have significant disparities in asthma prevalence compared with heterosexual peers. Moreover, across sex, higher prevalence of lifetime asthma was seen for most sexual identity and race/ethnicity subpopulations (27 of 30) when compared with White heterosexual sex-matched participants. Selected traditional risk factors (overweight, obese, and smoking) and bullying tended to attenuate odds among groups, especially those with a minority sexual identity. Asthma inequities at the intersection of sexual identity and race/ethnicity are substantive. Future studies should investigate the mechanisms contributing to these disparities to promote health equity among vulnerable youth populations. (. Published online ahead of print May 21, 2020: e1-e8. doi:10.2105/AJPH.2020.305664).
为全面评估美国青少年在性别、性取向和种族/族裔交叉点上的哮喘差异并确定相关因素。我们从疾病控制与预防中心的青少年风险行为调查中获取了多样化的青少年样本（n = 307073）。我们汇总了107个司法管辖区年份（2009 - 2017年）的数据。我们按性取向、种族/族裔及其交叉点（按性别分层）计算了终生哮喘患病率。我们开发了多变量加权逻辑回归模型，以检验选定相关因素对终生哮喘患病率的影响。与异性恋同龄人相比，女同性恋、男同性恋和双性恋青少年在哮喘患病率方面存在显著差异。此外，在所有性别中，与白人异性恋性别匹配的参与者相比，大多数性取向和种族/族裔亚人群（30个中的27个）的终生哮喘患病率更高。选定的传统风险因素（超重、肥胖和吸烟）以及欺凌行为往往会降低各群体中的患病几率，尤其是那些具有少数性取向的群体。性取向和种族/族裔交叉点上的哮喘不平等现象很严重。未来的研究应调查导致这些差异的机制，以促进弱势青少年群体的健康公平。（. 2020年5月21日在线优先发表：e1 - e8。doi:10.2105/AJPH.2020.305664）
