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检查性取向相关的非歧视法律对30年心血管疾病风险的影响

Yashika Sharma¹, Morgan Philbin², Bethany Everett³

¹University of Connecticut School of Nursing, Storrs, Connecticut, USA.

|September 13, 2025

概括

保护女同性恋,同性恋和双性恋 (LGB) 个人免受歧视的法律可能会降低心血管疾病 (CVD) 的风险. 增加的非歧视法律与大多数异性恋女性和同性恋男性的心血管疾病风险降低有关.

科学领域:

公共卫生和流行病学
健康的社会决定因素
心血管健康差异心血管健康差异

背景情况:

心血管疾病 (CVD) 风险受到结构因素的影响,包括法律保护.
关于女同性恋,男同性恋和双性恋 (LGB) 成年人心血管健康差异的结构性决定因素的现有证据需要扩展.
与性取向相关的非歧视法律代表着影响健康结果的关键结构因素.

研究的目的:

检查性取向相关的非歧视法律如何影响LGB成年人30年心血管疾病 (CVD) 风险.
调查这些法律对心血管疾病风险的影响中的性取向差异.
扩大有关心血管健康差异结构性决定因素的证据.

主要方法:

从青少年到成人健康全国纵向研究 (N=3768) 的第III,第IV和第V波数据的分析.
性取向的分类 (仅限于异性恋,主要是异性恋,双性恋,同性恋/女同性恋) 和非歧视法律的变化 (没有变化,增加,减少).
使用弗雷明汉风险评分和性别分层回归模型评估30年心血管疾病风险.

主要成果:

不歧视法律的增加与与异性恋女性和同性恋男性相比,与异性恋男性相比,与大多数异性恋女性和同性恋男性的心血管疾病风险较低有关.
与异性恋成年人相比,双性恋或仅限同性恋/女同性恋的成年人没有观察到心血管疾病风险降低的显著差异.
该样本包括3768名参与者,平均年龄为28.7岁,77%是白人,11%是西班牙裔,51%是女性.

结论:

增加与性取向相关的非歧视法律可能是减少特定LGB亚组CVD风险的重要因素.
研究结果支持结构层面的干预措施在缓解LGB成年人心血管疾病风险方面的作用.
关于非歧视的政策变化可以有助于减少健康差距.

关键词:

心血管疾病心血管疾病流行病学流行病学在健康方面存在差异.性少数群体的健康问题结构性的同性恋恐惧症

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