Evidence map›Paper›PMID 26985608›Full record

ArticleAmerican journal of public health2016

Sexual Orientation Disparities in Preventable Disease: A Fundamental Cause Perspective.

Richard Bränström, Mark L Hatzenbuehler, John E Pachankis, Bruce G Link

Abstract read
In one paragraph

Article in American journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Sexual orientation disclosure in health care: a systematic review.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018
    Pooled it
  2. Article
  3. Knowledge and Preventive Practices Toward COVID-19 Among Sex Workers in Chiang Mai, Thailand.International journal of environmental research and public health · 2025
    Article
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  6. Mental health of gender minority older adults in the United States: A systematic review.Psychology of sexual orientation and gender diversity · 2024
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  20. Trends in Alcohol Use Behaviors by Sexual Identity and Behavior Among High School Students, 2007-2017.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2019
    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

4 authors.

Richard BränströmRichard Bränström is with the Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. Mark L. Hatzenbuehler and Bruce G. Link are with the Department of Sociomedical Sciences, Columbia University, New York, NY. John E. Pachankis is with the Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT.
Mark L HatzenbuehlerRichard Bränström is with the Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. Mark L. Hatzenbuehler and Bruce G. Link are with the Department of Sociomedical Sciences, Columbia University, New York, NY. John E. Pachankis is with the Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT.
John E PachankisRichard Bränström is with the Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. Mark L. Hatzenbuehler and Bruce G. Link are with the Department of Sociomedical Sciences, Columbia University, New York, NY. John E. Pachankis is with the Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT.
Bruce G LinkRichard Bränström is with the Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. Mark L. Hatzenbuehler and Bruce G. Link are with the Department of Sociomedical Sciences, Columbia University, New York, NY. John E. Pachankis is with the Department of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT.

Funding

Social stress and substance abuse disparities in sexual minority youthK01DA032558 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HATZENBUEHLER, MARK LOUIS · 2012 to 2016
$879k
6 · The paper itself

Abstract

objectivesTo determine whether fundamental cause theory (which posits that, in societal conditions of unequal power and resources, members of higher-status groups experience better health than members of lower-status groups because of their disproportionate access to health-protective factors) might be relevant in explaining health disparities related to sexual orientation.

methodsWe used 2001 to 2011 morbidity data from the Stockholm Public Health Cohort, a representative general population-based study in Sweden. A total of 66 604 (92.0%) individuals identified as heterosexual, 848 (1.2%) as homosexual, and 806 (1.1%) as bisexual. To test fundamental cause theory, we classified diseases in terms of preventability potential (low vs high).

resultsThere were no sexual orientation differences in morbidity from low-preventable diseases. By contrast, gay or bisexual men (adjusted odds ratio [OR] = 1.48; 95% confidence interval [CI] = 1.13, 1.93) and lesbian or bisexual women (adjusted OR = 1.64; 95% CI = 1.28, 2.10) had a greater risk of high-preventable morbidity than heterosexual men and women, respectively. These differences were sustained in analyses adjusted for covariates.

conclusionsOur findings support fundamental cause theory and suggest that unequal distribution of health-protective resources, including knowledge, prestige, power, and supportive social connections, might explain sexual orientation health disparities.

Indexed as

Health Status DisparitiesSexual BehaviorFemaleHealth ServicesHeterosexualityHumansMaleRisk FactorsSexual and Gender MinoritiesSocial SupportSocioeconomic FactorsSweden

Identifiers

PMID26985608
PMCPMC4880229

What OpenQuestion holds

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Registered trials

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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.