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Between and Within Sexual Identity-Group Differences in Asthma Prevalence in the United States.
- Source :
- Respiratory Care; Mar2022, Vol. 67 Issue 3, p331-338, 8p
- Publication Year :
- 2022
-
Abstract
- BACKGROUND: Although prior studies have established the association of asthma with smoking and obesity, literature on difference-in-differences analyses involving sexual identity is sparse. Therefore, this study aimed to examine the between and within sexual identity-group differences in asthma prevalence among individuals who smoke and are obese. METHODS: We aggregated the 2017-2019 National Survey on Drug Use and Health data on adults (N = 128,319) to perform weighted multivariable logistic regression analysis and marginal estimates and marginsplot to determine asthma prevalence by sexual identity and the status of smoking and obesity. RESULTS: About 66% of the study population reported having asthma. Among the individuals with asthma, 42% were obese, 10% were daily cigarette smokers, and 6% identified as bisexual persons. Lesbian/gay daily smokers (86%) or former smokers (75%) had a higher probability of having asthma than bisexual (daily smokers = 78% vs former smokers = 72%) and heterosexual (daily smokers = 68% vs former smokers = 65%) persons. Within each sexual identity subgroup, daily smokers (68-86%) had the highest probability of asthma. Obese bisexual (73%) or lesbian/gay (72%) persons had higher probabilities of having asthma than heterosexual persons (69%). Obese (73%) or overweight (72%) bisexual (compared to normal weight = 70% or underweight = 51%) and obese (69%) or overweight (65%) heterosexual (compared to normal weight = 62% or underweight = 57%) persons had the highest probabilities of having asthma within their groups, whereas overweight persons (overweight = 81% vs underweight = 79%, normal weight = 78%, and obese = 72%) had the highest probabilities within lesbian/gay persons. CONCLUSIONS: Smoking and obesity show heightened odds for asthma, with significant odds for sexual minorities in asthma diagnosis relative to heterosexuals. These findings provide formative information for future longitudinal and experimental studies to explore these mechanisms of asthma risks among sexual and gender minorities. [ABSTRACT FROM AUTHOR]
- Subjects :
- ASTHMA risk factors
OBESITY complications
STATISTICS
MINORITIES
ASTHMA
CONFIDENCE intervals
CROSS-sectional method
SELF-evaluation
MULTIVARIATE analysis
RISK assessment
COMPARATIVE studies
SEXUAL orientation identity
DESCRIPTIVE statistics
CHI-squared test
STATISTICAL hypothesis testing
ETHNIC groups
SMOKING
STATISTICAL sampling
BODY mass index
SOCIODEMOGRAPHIC factors
LOGISTIC regression analysis
ODDS ratio
DATA analysis software
SECONDARY analysis
Subjects
Details
- Language :
- English
- ISSN :
- 00201324
- Volume :
- 67
- Issue :
- 3
- Database :
- Supplemental Index
- Journal :
- Respiratory Care
- Publication Type :
- Academic Journal
- Accession number :
- 155611270
- Full Text :
- https://doi.org/10.4187/respcare.09258