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Area of Science:

  • Public Health
  • Cardiovascular Health
  • LGBTQ+ Health

Background:

  • Sexual orientation and gender identity change efforts (SOGICE), or conversion therapy, persist despite being discredited and harmful.
  • Cardiovascular disease risk is exacerbated by stress, making SOGICE a critical factor for SGM health.

Purpose of the Study:

  • To investigate the association between SOGICE exposure and cardiovascular disease risk in sexual and gender minority (SGM) young adults.
  • To understand the impact of SOGICE on blood pressure, systemic inflammation, and hypertension.

Main Methods:

  • Observational cohort study (RADAR) of SGM young adults assigned male at birth (AMAB) in Chicago.
  • Cross-sectional data collection on SOGICE exposure, blood pressure (DBP, SBP), systemic inflammation (SI), and self-reported hypertension (HHBP).
  • Regression analyses adjusted for sociodemographic and behavioral covariates.

Main Results:

  • 703 SGM young adults (10.2% exposed to SOGICE) were analyzed.
  • SOGICE-exposed participants showed higher SI, elevated DBP and SBP, and greater odds of HHBP compared to non-exposed.
  • Associations remained significant after covariate adjustment.

Conclusions:

  • SOGICE exposure is associated with adverse cardiovascular health indicators in SGM young adults.
  • Findings support public health and policy interventions to ban SOGICE practices.
  • Addressing SOGICE's cardiovascular impact is crucial for reducing SGM health disparities and promoting affirmative care.