歧视与年轻的性少数群体男性的 C 反应蛋白有关。
Discrimination is associated with C-reactive protein among young sexual minority men.
机构信息
Department of Social and Behavioral Sciences, School of Global Public Health, New York University, New York, NY, USA.
Department of Biostatistics, School of Global Public Health, New York University, New York, NY, USA.
出版信息
J Behav Med. 2022 Aug;45(4):649-657. doi: 10.1007/s10865-022-00307-4. Epub 2022 Apr 8.
This report examines associations between everyday discrimination, microaggressions, and CRP to gain insight on potential mechanisms that may underlie increased CVD risk among sexual minority male young adults. The sample consisted of 60 participants taken from the P18 cohort between the ages of 24 and 28 years. Multinomial logistic regression models were used to examine the association between perceived everyday discrimination and LGBQ microaggressions with C-reactive protein cardiovascular risk categories of low-, average-, and high-risk, as defined by the American Heart Association and Centers for Disease Control. Adjustments were made for BMI. Individuals who experienced more everyday discrimination had a higher risk of being classified in the high-risk CRP group compared to the low-risk CRP group (RRR = 3.35, p = 0.02). Interpersonal LGBQ microaggressions were not associated with CRP risk category. Everyday discrimination, but not specific microaggressions based on sexual orientation, were associated with elevated levels of CRP among young sexual minority men (YSMM). Thus, to implement culturally and age-appropriate interventions, further researcher is needed to critically examine the specific types of discrimination and the resultant impact on YSMM's health.
本报告考察了日常歧视、微侵犯与 CRP 之间的关联,以期深入了解可能导致性少数男性青年成年人心血管疾病风险增加的潜在机制。该样本由年龄在 24 至 28 岁之间的 P18 队列中的 60 名参与者组成。使用多项逻辑回归模型来检验感知到的日常歧视和针对 LGBQ 的微侵犯与 CRP 心血管风险类别的关联,这些风险类别是由美国心脏协会和疾病控制中心定义的低、中、高危风险。对 BMI 进行了调整。与低风险 CRP 组相比,经历更多日常歧视的个体更有可能被归类为高风险 CRP 组(RRR=3.35,p=0.02)。人际间的 LGBQ 微侵犯与 CRP 风险类别无关。日常歧视,但不是基于性取向的特定微侵犯,与年轻的性少数男性(YSMM)中 CRP 水平升高有关。因此,为了实施文化和年龄适当的干预措施,需要进一步的研究来仔细检查特定类型的歧视及其对 YSMM 健康的影响。