Evidence map›Paper›PMID 26768389›Full record

Observational studyThe Gerontologist2016

Mortality in Postmenopausal Women by Sexual Orientation and Veteran Status.

Keren Lehavot, Eileen Rillamas-Sun, Julie Weitlauf, Rachel Kimerling, Robert B Wallace, Anne G Sadler, Nancy Fugate Woods, Jillian C Shipherd, Kristin Mattocks, Dominic J Cirillo and 2 more

Abstract readObservational Study
In one paragraph

Observational study in The Gerontologist, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Long-Term Smoking Cessation Outcomes for Sexual Minority Versus Nonminority Smokers in a Large Randomized Controlled Trial of Two Web-Based Interventions.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Addressing sexual and gender minority disparities in cancer research.Journal of the National Cancer Institute · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Evidence Review-Social Determinants of Health for Veterans.Journal of general internal medicine · 2018
    Review
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Keren LehavotHealth Services Research & Development, VA Puget Sound Health Care System and Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle. keren.lehavot@va.gov.
Eileen Rillamas-SunDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center and Health Services Research & Development, VA Puget Sound Health Care System, Seattle, Washington.
Julie WeitlaufSierra Pacific Mental Illness, Research, Education and Clinical Center and Center for Innovation to Implementation, VA Palo Alto Health Care System, California. Department of Psychiatry & Behavioral Sciences and Stanford Cancer Institute, California.
Rachel KimerlingVA Palo Alto Health Care System, Menlo Park, California.
Robert B WallaceUniversity of Iowa College of Public Health, Iowa City.
Anne G SadlerIowa City VA Medical Center.
Nancy Fugate WoodsUniversity of Washington School of Nursing, Seattle.
Jillian C ShipherdVA Boston Healthcare System, National Center for PTSD Women's Health Sciences, Boston University School of Medicine, Massachusetts. LGBT Program Patient Care Services, Washington DC.
Kristin MattocksVA Central Western Massachusetts, Leeds. University of Massachusetts Medical School, Worcester.
Dominic J CirilloDepartment of Public Health Sciences, University of Rochester School of Medicine and Dentistry, the University of Iowa Department of Epidemiology, New York.
Marcia L StefanickStanford Prevention Research Center, Stanford University School of Medicine, California.
Tracy L SimpsonCenter of Excellence in Substance Abuse Treatment and Education, VA Puget Sound Health Care System and Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle.

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
6 · The paper itself

Abstract

purpose of the studyTo examine differences in all-cause and cause-specific mortality by sexual orientation and Veteran status among older women. DESIGN AND

methodsData were from the Women's Health Initiative, with demographic characteristics, psychosocial factors, and health behaviors assessed at baseline (1993-1998) and mortality status from all available data sources through 2014. Women with baseline information on lifetime sexual behavior and Veteran status were included in the analyses (N = 137,639; 1.4% sexual minority, 2.5% Veteran). The four comparison groups included sexual minority Veterans, sexual minority non-Veterans, heterosexual Veterans, and heterosexual non-Veterans. Cox proportional hazard models were used to estimate mortality risk adjusted for demographic, psychosocial, and health variables.

resultsSexual minority women had greater all-cause mortality risk than heterosexual women regardless of Veteran status (hazard ratio [HR] = 1.20, 95% confidence interval [CI]: 1.07-1.36) and women Veterans had greater all-cause mortality risk than non-Veterans regardless of sexual orientation (HR = 1.14, 95% CI: 1.06-1.22), but the interaction between sexual orientation and Veteran status was not significant. Sexual minority women were also at greater risk than heterosexual women for cancer-specific mortality, with effects stronger among Veterans compared to non-Veterans (sexual minority × Veteran HR = 1.70, 95% CI: 1.01-2.85). IMPLICATIONS: Postmenopausal sexual minority women in the United States, regardless of Veteran status, may be at higher risk for earlier death compared to heterosexuals. Sexual minority women Veterans may have higher risk of cancer-specific mortality compared to their heterosexual counterparts. Examining social determinants of longevity may be an important step to understanding and reducing these disparities.

Indexed as

Activities of Daily LivingAgedAlcohol DrinkingBisexualityCardiovascular DiseasesCase-Control StudiesCause of DeathDepressionFemaleHealth BehaviorHeterosexualityHomosexuality, FemaleHumansMiddle AgedNeoplasmsPhysical AbuseAll-cause mortalitySexual minorityWomen Veterans

Identifiers

PMID26768389
PMCPMC5881613

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.