Evidence map›Paper›PMID 30392384›Full record

ArticleAmerican journal of health promotion : AJHP2019

Cardiovascular Disease Disparities in Sexual Minority Adults: An Examination of the Behavioral Risk Factor Surveillance System (2014-2016).

Billy A Caceres, Nour Makarem, Kathleen T Hickey, Tonda L Hughes

Abstract read
In one paragraph

Article in American journal of health promotion : AJHP, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing 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

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

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  5. Review
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  8. Article
  9. Comparing Stroke Risk Factors Among Sexual Minority Groups in Texas.International journal of behavioral medicine · 2025
    Article
  10. Observational
  11. Article
  12. Sexual orientation and daily stress and well-being.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
    Article
  13. Article
  14. Sexual identity differences in ideal cardiovascular health among cisgender adults in the All of Us Research Program.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  15. Article
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  18. Article
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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

4 authors.

Billy A Caceres1 Columbia University School of Nursing, New York City, NY, USA.ORCID 0000-0001-6865-5546
Nour Makarem2 Division of Cardiology, Columbia University Medical Center, New York City, NY, USA.
Kathleen T Hickey1 Columbia University School of Nursing, New York City, NY, USA.
Tonda L Hughes1 Columbia University School of Nursing, New York City, NY, USA.

Funding

Systems Science and Comparative and Cost-Effectiveness Research Training for Nurse Scientists (S2CER2)T32NR014205 · NINR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Lusine Poghosyan, Jingjing Shang · 2013 to 2026
$4.2M
CIRCADIAN PATTERN OF REST-ACTIVITY RHYTHMS AND BLOOD PRESSURE AND THE UNDERLYINGR00HL148511 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAKAREM, NOUR · 2021 to 2023
$809k
Circadian Pattern of Rest-Activity Rhythms and Blood Pressure and the Underlying Epigenetic MechanismsK99HL148511 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAKAREM, NOUR · 2019 to 2020
$259k
NHLBI NIH HHS K99 HL148511NHLBI NIH HHS R00 HL148511NINR NIH HHS T32 NR014205
6 · The paper itself

Abstract

purposeInvestigate sexual orientation differences in cardiovascular disease risk and cardiovascular disease.

designCross-sectional.

settingThe 2014 to 2016 Behavioral Risk Factor Surveillance System.

participantsA total of 395 154 participants. MEASURES: The exposure measure was sexual orientation. Self-report of cardiovascular disease risk factors and cardiovascular disease was assessed. ANALYSIS: Sex-stratified logistic regression analyses to examine sexual orientation differences in cardiovascular disease risk and cardiovascular disease (heterosexuals = reference group).

resultsSexual minority men reported higher rates of mental distress (gay adjusted odds ratio [AOR]: 1.59; bisexual AOR: 1.88) and lifetime depression (gay AOR: 2.48; bisexual: AOR 2.67). Gay men reported higher rates of current smoking (AOR: 1.28), but lower rates of obesity (AOR: 0.82) compared to heterosexual men. Sexual minority women reported higher rates of several cardiovascular risk factors including mental distress (lesbian AOR: 1.37; bisexual AOR: 2.33), lifetime depression (lesbian AOR: 1.96; bisexual AOR: 3.26), current smoking (lesbian AOR: 1.65; bisexual AOR: 1.29), heavy drinking (lesbian AOR: 2.01; bisexual AOR: 2.04), and obesity (lesbian AOR: 1.50; bisexual AOR: 1.29), but were more likely to exercise than heterosexual women (lesbian AOR: 1.34; bisexual AOR: 1.24). Lesbian women reported lower rates of heart attack (AOR: 0.62), but bisexual women had higher rates of stroke than heterosexual women (AOR: 1.46).

conclusionsFindings can inform the development of prevention efforts to reduce cardiovascular disease risk in sexual minorities.

Indexed as

Health Status DisparitiesAdolescentAdultAgedAlcoholismBehavioral Risk Factor Surveillance SystemCardiovascular DiseasesDepressionExerciseFemaleHeterosexualityHomosexuality, FemaleHomosexuality, MaleHumansMaleMiddle Agedcardiovascular diseasedisease preventionsexual minorities

Identifiers

PMID30392384
PMCPMC6476632

What OpenQuestion holds

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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.