ArticleStress (Amsterdam, Netherlands)2019
Sexual orientation, disclosure, and cardiovascular stress reactivity.
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.
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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.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Minority stress in relation to biological outcomes among sexual and gender minority people: a systematic review and update.Journal of behavioral medicine · 2025Pooled it
- Effects of a group-based compassion microintervention compared to cognitive reappraisal training on cardiovascular, self-reported, and behavioral stress reactivity among young adults: A cluster randomized controlled trial.Applied psychology. Health and well-being · 2025Trial
- Stress Processes and Resilience Pathways of Sexually and Gender Diverse Communities: A Narrative Review of 15 Years of Evolving Research Priorities and Practices.American journal of human biology : the official journal of the Human Biology Council · 2026Review
- Sexual orientation and daily stress and well-being.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- The socioecology of sexual minority stigma: Advancing theory on stigma-based mechanisms underlying sexual orientation-based disparities in health.Social science & medicine (1982) · 2024Article
- A longitudinal analysis of the association between changes in sexual identity and cardiovascular disease risks.Annals of LGBTQ public and population health · 2024Article
- Structural Stigma and Disparities in Long-Term Health Conditions Among Australians in Same-Sex Relationships: 2021 Australian Census.American journal of public health · 2024Article
- From Social Stress and Isolation to Autonomic Nervous System Dysregulation in Suicidal Behavior.Current psychiatry reports · 2024Review
- Predicting salivary cortisol and sexual behavior stigma among MSM in the American Men's Internet Survey 2019.Scientific reports · 2023Article
- 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 · 2023Article
- Testing whether the combination of victimization and minority stressors exacerbate PTSD risks in a diverse community sample of sexual minority women.Psychology and sexuality · 2023Article
- Sexual minorities are at elevated risk of cardiovascular disease from a younger age than heterosexuals.Journal of behavioral medicine · 2022Article
- A Social Affective Neuroscience Model of Risk and Resilience in Adolescent Depression: Preliminary Evidence and Application to Sexual and Gender Minority Adolescents.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2021Review
- The Cardiovascular Conundrum in Ethnic and Sexual Minorities: A Potential Biomarker of Constant Coping With Discrimination.Frontiers in neuroscience · 2021Article
- Differences in Self-Reported Stress Versus Hair and Nail Cortisol Among Adolescent and Young Adult Males.Nursing researchArticle
- Examining the Associations of Family-Related Factors with Hypertension in Sexual Minority Women.LGBT healthArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
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.
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