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Background Sexual minority adults are at higher risk of hypertension than their heterosexual counterparts. Sexual minority stressors (i.e. unique stressors attributed to sexual minority identity) are associated with a variety of poor mental and physical health outcomes. Previous research has not tested associations between sexual minority stressors and incident hypertension among sexual minority adults. Purpose To examine the associations between sexual minority stressors and incident hypertension among sexual minority adults assigned female sex at birth. Methods Using data from a longitudinal study, we examined associations between three sexual minority stressors and self-reported hypertension. We ran multiple logistic regression models to estimate the associations between sexual minority stressors and hypertension. We conducted exploratory analyses to determine whether these associations differed by race/ethnicity and sexual identity (e.g. lesbian/gay vs. bisexual). Results The sample included 380 adults, mean age 38.4 (± 12.81) years. Approximately 54.5% were people of color and 93.9% were female-identified. Mean follow-up was 7.0 (± 0.6) years; during which 12.4% were diagnosed with hypertension. We found that a 1-standard deviation increase in internalized homophobia was associated with higher odds of developing hypertension (AOR 1.48, 95% Cl: 1.06–2.07). Stigma consciousness (AOR 0.85, 95% CI: 0.56–1.26) and experiences of discrimination (AOR 1.07, 95% CI: 0.72–1.52) were not associated with hypertension. The associations of sexual minority stressors with hypertension did not differ by race/ethnicity or sexual identity. Conclusions This is the first study to examine the associations between sexual minority stressors and incident hypertension in sexual minority adults. Implications for future studies are highlighted. [ABSTRACT FROM AUTHOR]

Background: Normally, branches of superior mesenteric and inferior mesenteric arteries (IMA) supply the parts of intestine derived from midgut and hindgut and their variations are uncommon. One of the rarest variations is the presence of a middle mesenteric artery (MMA), an anomalous ventral branch of abdominal aorta originating in between the origins of superior and IMA supplying variable portions of the colon, sporadically reported mainly as case reports. Materials and Methods: While retrospectively examining multi-detector computed tomography angiographic abdominal scans of 500 subjects for analyzing the variations of branches of abdominal aorta, an anomalous artery supplying variable parts of colon was observed in one male patient. Observations: We report here an incidentally detected presence of MMA supplying large portions of colon in a male patient with nonrotation of gut, cholelithiasis, and portal hypertension. Computed tomography angiography of this patient also revealed variant celiac artery branching with hepatosplenic trunk and direct aortic origin of left gastric artery. Thus, there were five ventral branches of abdominal aorta supplying the gut which is a very rare presentation. Hepatic flexure of the colon was present between diaphragm and right lobe of the liver (Chilaiditi syndrome). Discussion and Conclusion: Our literature search has yielded 26 such cases reported globally, and to the best of our knowledge, this is the first report from India. Associated anomalies reported include abdominal aortic aneurysm, nonrotation of gut, and presence of other vascular anomalies. Failure to identify such an anomalous artery may result in its damage with subsequent bowel ischemia and other complications during surgery. [ABSTRACT FROM AUTHOR]