Evidence map›Paper›PMID 28756895›Full record

ArticleAmerican journal of preventive medicine2017

Stigma and Health-Related Quality of Life in Sexual Minorities.

S Bryn Austin, Allegra R Gordon, Najat J Ziyadeh, Brittany M Charlton, Sabra L Katz-Wise, Mihail Samnaliev

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
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

11 citing papers in PubMed, 23 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

S Bryn AustinDivision of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Channing Division of Network Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts. Electronic address: bryn.austin@childrens.harvard.edu.
Allegra R GordonDivision of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts.
Najat J ZiyadehDivision of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts.
Brittany M CharltonDivision of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
Sabra L Katz-WiseDivision of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
Mihail SamnalievDivision of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts.
Boston Children's Hospital · USHarvard University · US

Funding

Sexual Orientation and Obesity: Test of a Gendered Biopsychosocial ModelR01HD066963 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI AUSTIN, S BRYN · 2011 to 2015
$3.5M
Causes and Impact of Minority Stress on Health and Development in YouthR01HD057368 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI AUSTIN, S BRYN, ROSARIO, MARGARET · 2009 to 2013
$3.3M
Sexual Orientation and Health Disparities in AdolescenceR01HD045763 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI AUSTIN, S BRYN · 2004 to 2007
$812k
The Family Environment, Social Support, and Health in Transgender YouthK99HD082340 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI KATZ-WISE, SABRA L. · 2015 to 2016
$238k
Changes in the Social and Policy Environment as Predictors of Substance Use and Health-Related Quality of Life Among Sexual MinoritiesF32DA042506 · NIDA · BOSTON CHILDREN'S HOSPITAL · PI GORDON, ALLEGRA RABOFF · 2016 to 2018
$188k
Reproductive health disparities and sexual orientation in girls and womenF32HD084000 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI CHARLTON, BRITTANY MICHELLE · 2015 to 2017
$115k
Divergent Dopamine System Adaptions After StressF31DA042505 · NIDA · DREXEL UNIVERSITY · PI BRODNIK, ZACHARY · 2017 to 2018
$70k
NICHD NIH HHS F32 HD084000NICHD NIH HHS K99 HD082340NICHD NIH HHS R01 HD045763NICHD NIH HHS R01 HD057368NICHD NIH HHS R01 HD066963NIDA NIH HHS F31 DA042505NIDA NIH HHS F32 DA042506
6 · The paper itself

Abstract

introductionStigma against sexual minorities is well documented, but its long-term consequences for health-related quality of life (HRQL) are unknown. This study examined stigma-related predictors of sexual orientation disparities in HRQL and their contribution to young adult HRQL disparities.

methodsIn 2013, participants (N=7,304, aged 18-31 years) reported sexual orientation (completely heterosexual [CH], mostly heterosexual, bisexual, and lesbian/gay). The EQ5D-5L, preference weighted for the U.S. population, was used to assess HRQL (range, -0.109 [worse than dead] to 1 [full health]). In prior waves conducted during adolescence, participants reported past-year bullying victimization (range, 1 [never] to 5 [several times/week]) and subjective social status (SSS) in their school (range, 1 [top] to 10 [bottom]). Analyses conducted in 2016 used longitudinal, multivariable linear and logistic regression to assess the contribution of bullying victimization and SSS in adolescence to sexual orientation disparities in HRQL in young adulthood, controlling for confounders and stratified by gender.

resultsCompared with CHs, both female and male sexual minorities reported more bullying victimization and lower SSS in adolescence and lower HRQL in young adulthood (HRQL score among women: mostly heterosexual, 0.878; bisexual, 0.839; lesbian, 0.848; CH, 0.913; HRQL score among men: mostly heterosexual, 0.877; bisexual, 0.882; gay, 0.890; CH, 0.925; all p-values <0.05). When bullying and SSS were added into multivariable models, orientation group effect estimates were attenuated substantially, suggesting bullying and lower SSS in adolescence partly explained HRQL disparities in young adulthood.

conclusionsStigma-related experiences in adolescence may have lasting adverse effects on sexual minority health in adulthood.

Indexed as

AdolescentChildFemaleHumansProspective StudiesQuality of LifeSexual and Gender MinoritiesSocial Behavior

Identifiers

PMID28756895
PMCPMC6740239
OpenAlexW2741574816

What OpenQuestion holds

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LicenceTDM
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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.