Evidence map›Paper›PMID 30835598›Full record

ArticleStress (Amsterdam, Netherlands)2019

Sexual orientation, disclosure, and cardiovascular stress reactivity.

Robert-Paul Juster, David Matthew Doyle, Mark L Hatzenbuehler, Bethany G Everett, L Zachary DuBois, Jennifer J McGrath

Abstract read
In one paragraph

Article in Stress (Amsterdam, Netherlands), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
  2. Trial
  3. Review
  4. Sexual orientation and daily stress and well-being.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
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  10. Self-Compassion, Minority Stress, and Mental Health in Sexual and Gender Minority Populations: A Meta-Analysis and Systematic Review.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2023
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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.

Robert-Paul Justera Department of Psychiatry and Addiction , University of Montreal , Montreal , Canada.
David Matthew Doyleb Department of Psychology , University of Exeter , Exeter , United Kingdom.
Mark L Hatzenbuehlerc Department of Sociomedical Sciences , Columbia University , New York , NY , USA.
Bethany G Everettd Department of Sociology , University of Utah , Salt Lake City , UT , USA.
L Zachary DuBoise Department of Anthropology , University of Oregon , Eugene , OR , USA.
Jennifer J McGrathf Department of Psychology , Concordia University , Montreal , Canada.

Funding

Social stress and substance abuse disparities in sexual minority youthK01DA032558 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HATZENBUEHLER, MARK LOUIS · 2012 to 2016
$879k
CIHR SIA 95402NIDA NIH HHS K01 DA032558
6 · The paper itself

Abstract

Stigma may strain the heart health of lesbian, gay, and bisexual (LGB) individuals. To date, however, LGB-related differences in cardiovascular diagnosis, risk factors, and basal biomarkers are inconsistently reported. Using a laboratory-based stress paradigm, the current study assessed whether cardiovascular stress reactivity differs as a function of sexual orientation and disclosure status ("coming out") in a sample of healthy young LGB and heterosexual adults. Eighty-seven participants aged 18-45 (M = 24.61 ± 0.61 SE) identifying as LGB and heterosexual (47%) were exposed to the Trier Social Stress Test, a well-validated laboratory stressor involving public speaking and mental arithmetic. Throughout a two-hour session, ambulatory recordings for heart rate and blood pressure were collected. Self-report questionnaires were also administered to assess psychosocial and demographic variables. Gay/bisexual men showed higher heart rate and lesbian/bisexual women showed marginally higher mean arterial blood pressure in response to a stressor, compared to sex- and age-matched heterosexuals. No significant differences emerged when comparing LGB individuals who had completely disclosed and those that had not completely disclosed their sexual orientation to family and friends. Compared to heterosexuals, heart rate is higher among gay/bisexual men and blood pressure is marginally higher among lesbian/bisexual women when exposed to a laboratory-based stressor. These preliminary findings contribute to small literature on sexual orientation differences in stress reactive biomarkers that requires further exploration. Lay abstract In response to stress exposure in a laboratory, gay/bisexual men showed higher heart rate than heterosexual men. By contrast, lesbian/bisexual showed a non-significant tendency towards higher blood pressure than heterosexual women. These preliminary findings suggest that the heart health of LGB individuals might be strained by stigma exposure.

Indexed as

AdolescentAdultBisexualityDisclosureFemaleHeterosexualityHomosexuality, FemaleHumansMaleMiddle AgedRisk FactorsSelf ReportSexualityStress, PsychologicalSurveys and QuestionnairesYoung Adultblood pressurecardiovascular stress reactivityheart rateSexual orientationTrier Social Stress Test

Identifiers

PMID30835598
PMCPMC6760466

What OpenQuestion holds

Textmetadata
LicenceTDM
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.