Sexual Orientation Disparities in Physical Activity

Results From Insured Adults in California

Dados Bibliográficos

ID9100364
AutoresJulie Fricke (0000-0002-8722-6429, Department of Health and Behavioral Sciences; University of Colorado Denver, Denver, CO, autor correspondente), Nancy P Gordon (0000-0003-3692-112X, Kaiser Permanente), Nancy Gordon (Kaiser Permanente Division of Research), Janelle Downing (0000-0002-2382-5537, Health Services Policy and Management, University of South Carolina, CO)
Ano2019
Volume57
Fascículo2
Páginas138-144
Data de publicação2019-02-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001017
PMID30461583
OpenAlexW2900540864
IdiomaEN
Citações recebidas5
Referências citadas45

BACKGROUND: The majority of adults in the United States fail to meet the Centers for Disease Control and Prevention (CDC) physical activity (PA) guideline recommendations for health promotion. Despite evidence of disparities by sexual orientation in adverse health outcomes related to PA, little is known about whether PA patterns and the likelihood of meeting these guidelines differ between heterosexual and sexual minority (SM) men and women. METHODS: In 2018, we pooled unweighted respondent data from Kaiser Permanente Northern California Member Health Surveys conducted in 2008, 2011, and 2014/15 (N=42,534) to compare PA patterns among heterosexual and SM men and women. RESULTS: In total, 38.8% of heterosexual men, 43.4% of SM men, 32.9% of heterosexual women, and 40.0% of SM women meet the CDC PA guidelines, yet there was no statistically significant difference in the adjusted odds of meeting these guidelines. Compared with heterosexual women, SM women engage in PA more frequently [odds ratio=0.81; 95% confidence interval (CI), 0.74-0.89], for more minutes per week on average (12.71; 95% CI, 4.85-20.57), and at higher levels of intensity (relative risk ratio=1.26; 95% CI, 1.02-1.56). Compared with heterosexual men, SM men engage in PA more frequently (OR=0.85; 95% CI, 0.74-0.98), for fewer minutes per week on average (-12.89; 95% CI, -25.84 to 0.06), and at lower levels of intensity (relative risk ratio=0.83; 95% CI, 0.67-0.99). CONCLUSIONS: We find that SMs get more frequent PA than their heterosexual peers, which suggests that the higher prevalence of obesity and other PA-related adverse health outcomes among SMs may be due to factors other than PA patterns

Confidence interval · Disease control · Environmental health · Odds ratio · Sexual minority · Sexual orientation · Demography · Internal Medicine · LGBTQ Health, Identity, and Policy · Medicine · Physical Activity and Health · Psychology · Sex and Gender in Healthcare