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1
Racial/Ethnic Differences in Cardiometabolic Risk in a Community Sample of Sexual Minority Women.性少数群体女性社区样本中心血管代谢风险的种族/族裔差异。
Health Equity. 2019 Jul 1;3(1):350-359. doi: 10.1089/heq.2019.0024. eCollection 2019.
2
Sexual Identity, Adverse Life Experiences, and Cardiovascular Health in Women.女性的性身份认同、不良生活经历与心血管健康。
J Cardiovasc Nurs. 2019 Sep/Oct;34(5):380-389. doi: 10.1097/JCN.0000000000000588.
3
Sexual Orientation and Diabetes During the Transition to Adulthood.性取向与成年过渡期的糖尿病。
LGBT Health. 2019 Jul;6(5):227-234. doi: 10.1089/lgbt.2018.0153. Epub 2019 Jun 6.
4
Disparities in Health Information-Seeking Behaviors and Fatalistic Views of Cancer by Sexual Orientation Identity: A Nationally Representative Study of Adults in the United States.性取向认同与癌症宿命观对健康信息寻求行为的差异：基于美国全国成年人的代表性研究
LGBT Health. 2019 May-Jun;6(4):192-201. doi: 10.1089/lgbt.2018.0112. Epub 2019 May 20.
5
Does stroke health promotion increase awareness of appropriate behavioural response? Impact of the face, arm, speech and time (FAST) campaign on population knowledge of stroke risk factors, warning signs and emergency response.中风健康促进是否能提高对适当行为反应的认识？面、臂、语言和时间（FAST）运动对人群中风危险因素、警示信号及应急反应知识的影响。
Eur Stroke J. 2018 Jun;3(2):117-125. doi: 10.1177/2396987317753453. Epub 2018 Jan 11.
6
Behavioral Interventions Using Consumer Information Technology as Tools to Advance Health Equity.利用消费者信息技术的行为干预措施，促进健康公平。
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Cardiovascular Disease Disparities in Sexual Minority Adults: An Examination of the Behavioral Risk Factor Surveillance System (2014-2016).心血管疾病在性少数群体成年人中的差异：对行为风险因素监测系统（2014-2016 年）的考察。
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Disparities in Health Care Access and Health Among Lesbians, Gay Men, and Bisexuals in California.加利福尼亚州女同性恋、男同性恋和双性恋者在医疗保健可及性和健康方面的差异。
Policy Brief UCLA Cent Health Policy Res. 2018 Oct;2018(9):1-8.
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An avatar-based education application to improve patients' knowledge of and response to heart attack symptoms: A pragmatic randomized controlled trial protocol.基于头像的教育应用程序以提高患者对心脏病发作症状的认识和反应：一项实用随机对照试验方案。
J Adv Nurs. 2018 Nov;74(11):2658-2666. doi: 10.1111/jan.13767. Epub 2018 Jul 25.
10
Sexual Orientation Differences in Modifiable Risk Factors for Cardiovascular Disease and Cardiovascular Disease Diagnoses in Men.男性心血管疾病及其诊断的可改变风险因素在性取向方面的差异。
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心脏病发作和中风症状认知中的性取向认同与种族/民族差异：来自国民健康访谈调查的结果

Sexual Identity and Racial/Ethnic Differences in Awareness of Heart Attack and Stroke Symptoms: Findings From the National Health Interview Survey.

作者信息

Caceres Billy A, Turchioe Meghan Reading, Pho Anthony, Koleck Theresa A, Creber Ruth Masterson, Bakken Suzanne B

机构信息

Program for the Study of LGBT Health, 5798Columbia University School of Nursing, New York, NY, USA.

12295Weill Cornell Medicine, New York, NY, USA.

出版信息

Am J Health Promot. 2021 Jan;35(1):57-67. doi: 10.1177/0890117120932471. Epub 2020 Jun 19.

DOI:10.1177/0890117120932471
PMID:32551829
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7948248/
Abstract

PURPOSE

Investigate sexual identity and racial/ethnic differences in awareness of heart attack and stroke symptoms.

DESIGN

Cross-sectional.

SETTING

2014 and 2017 National Health Interview Survey.

SAMPLE

54 326 participants.

MEASURES

Exposure measures were sexual identity (heterosexual, gay/lesbian, bisexual, "something else") and race/ethnicity. Awareness of heart attack and stroke symptoms was assessed.

ANALYSIS

Sex-stratified logistic regression analyses to examine sexual identity and racial/ethnic differences in awareness of heart attack and stroke symptoms.

RESULTS

Gay men were more likely than heterosexual men to identify calling 911 as the correct action if someone is having a heart attack (adjusted odds ratio [AOR] = 2.16, 95% CI: 1.18-3.96). The majority of racial/ethnic minority heterosexuals reported lower rates of awareness of heart attack and stroke symptoms than White heterosexuals. Hispanic sexual minority women had lower awareness of heart attack symptoms than White heterosexual women (AOR = 0.43, 95% CI: 0.25-0.74), whereas Asian sexual minority women reported lower awareness of stroke symptoms (AOR = 0.25, 95% CI: 0.08-0.80). Hispanic (AOR = 0.52, 95% CI: 0.33-0.84) and Asian (AOR = 0.35, 95% CI: 0.14-0.84) sexual minority men reported lower awareness of stroke symptoms than White heterosexual men.

CONCLUSION

Hispanic and Asian sexual minorities had lower rates of awareness of heart attack and stroke symptoms. Health information technology may be a platform for delivering health education and targeted health promotion for sexual minorities of color.

摘要

目的

调查心脏病发作和中风症状知晓率方面的性取向及种族/族裔差异。

设计

横断面研究。

背景

2014年和2017年国家健康访谈调查。

样本

54326名参与者。

测量指标

暴露指标为性取向（异性恋、男同性恋/女同性恋、双性恋、“其他”）和种族/族裔。评估心脏病发作和中风症状的知晓情况。

分析

进行按性别分层的逻辑回归分析，以检验心脏病发作和中风症状知晓率方面的性取向及种族/族裔差异。

结果

如果有人心脏病发作，男同性恋者比异性恋男性更有可能认为拨打911是正确的行动（调整优势比[AOR]=2.16，95%置信区间：1.18 - 3.96）。大多数种族/族裔少数群体的异性恋者报告称，他们对心脏病发作和中风症状的知晓率低于白人异性恋者。西班牙裔性少数群体女性对心脏病发作症状的知晓率低于白人异性恋女性（AOR = 0.43，95%置信区间：0.25 - 0.74），而亚裔性少数群体女性报告称对中风症状的知晓率较低（AOR = 0.25，95%置信区间：0.08 - 0.80）。西班牙裔（AOR = 0.52，95%置信区间：0.33 - 0.84）和亚裔（AOR = 0.35，95%置信区间：0.14 - 0.84）性少数群体男性对中风症状的知晓率低于白人异性恋男性。

结论

西班牙裔和亚裔性少数群体对心脏病发作和中风症状的知晓率较低。健康信息技术可能是为有色人种性少数群体提供健康教育和有针对性的健康促进的一个平台。