Department of Population Health Sciences, University of Central Florida, Orlando, Florida, USA.
Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, North Carolina, USA.
LGBT Health. 2023 Jul;10(5):372-381. doi: 10.1089/lgbt.2022.0186. Epub 2023 Mar 21.
The current study explored how sexual orientation and gender identity interact with race/ethnicity to predict self-reported lifetime and current diagnosis of asthma. Using the 2020 Behavioral Risk Factor Surveillance System survey, we conducted logistic regression analyses, weighted for complex samples, stratified by sexual orientation and gender identity, and controlling for race/ethnicity, age, smoking, population density, and body mass index. Analyses showed that there were significantly higher adjusted odds of lifetime asthma among gay men and bisexual men in comparison to heterosexual men, gay/lesbian women and bisexual women in comparison to heterosexual women, and transgender men in comparison to cisgender individuals. In addition, analyses showed that there were significantly higher odds of current asthma among women with other minority sexual orientations in comparison to heterosexual women. Finally, there was a significant interaction between race/ethnicity and sexual orientation among men. Sexual minority men of color might be particularly vulnerable to chronic asthma. Future research should examine asthma prevalence in sexual and gender minority (SGM) individuals of specific marginalized racial/ethnic groups. Future responses to SGM asthma inequities should include low-cost screening and treatment targeting SGM individuals, and policies improving air quality in urban areas.
本研究探讨了性取向和性别认同如何与种族/民族相互作用，从而预测自我报告的终身和当前哮喘诊断。 使用 2020 年行为风险因素监测系统调查，我们进行了逻辑回归分析，针对性取向和性别认同进行了分层，并针对种族/民族、年龄、吸烟、人口密度和体重指数进行了加权控制。 分析表明，与异性恋男性相比，男同性恋者和双性恋男性、女同性恋者和双性恋女性以及跨性别男性终身哮喘的调整后优势比明显更高，与异性恋女性相比，其他少数性取向的女性当前哮喘的优势比也明显更高。 此外，分析表明，与异性恋女性相比，其他少数性取向的女性当前哮喘的优势比明显更高。 最后，种族/民族和男性之间存在显著的相互作用。 有色人种的性少数群体男性可能特别容易患慢性哮喘。 未来的研究应该检查特定边缘化种族/族裔群体的性和性别少数群体（SGM）个体中的哮喘流行情况。 未来针对 SGM 哮喘不平等问题的应对措施应包括针对 SGM 个体的低成本筛查和治疗，以及改善城市地区空气质量的政策。
