Sexual orientation disparities in cancer-related risk behaviors of tobacco, alcohol, sexual behaviors, and diet and physical activity: pooled Youth Risk Behavior Surveys.

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Abstract

We examined sexual orientation disparities in cancer-related risk behaviors among adolescents.

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Most cited references 69

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The adolescent brain.

B. J. Casey, Sarah Getz, Adriana Galvan (2008)

Adolescence is a developmental period characterized by suboptimal decisions and actions that give rise to an increased incidence of unintentional injuries and violence, alcohol and drug abuse, unintended pregnancy and sexually transmitted diseases. Traditional neurobiological and cognitive explanations for adolescent behavior have failed to account for the nonlinear changes in behavior observed during adolescence, relative to childhood and adulthood. This review provides a biologically plausible conceptualization of the neural mechanisms underlying these nonlinear changes in behavior, as a heightened responsiveness to incentives while impulse control is still relatively immature during this period. Recent human imaging and animal studies provide a biological basis for this view, suggesting differential development of limbic reward systems relative to top-down control systems during adolescence relative to childhood and adulthood. This developmental pattern may be exacerbated in those adolescents with a predisposition toward risk-taking, increasing the risk for poor outcomes.

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A population-based study of sexual orientation identity and gender differences in adult health.

Kerith J Conron, Matthew Mimiaga, Stewart Landers (2010)

We provide estimates of several leading US adult health indicators by sexual orientation identity and gender to fill gaps in the current literature. We aggregated data from the 2001-2008 Massachusetts Behavioral Risk Factor Surveillance surveys (N = 67,359) to examine patterns in self-reported health by sexual orientation identity and gender, using multivariable logistic regression. Compared with heterosexuals, sexual minorities (i.e., gays/lesbians, 2% of sample; bisexuals, 1%) were more likely to report activity limitation, tension or worry, smoking, drug use, asthma, lifetime sexual victimization, and HIV testing, but did not differ on 3-year Papanicolaou tests, lifetime mammography, diabetes, or heart disease. Compared with heterosexuals, bisexuals reported more barriers to health care, current sadness, past-year suicidal ideation, and cardiovascular disease risk. Gay men were less likely to be overweight or obese and to obtain prostate-specific antigen tests, and lesbians were more likely to be obese and to report multiple risks for cardiovascular disease. Binge drinking and lifetime physical intimate partner victimization were more common among bisexual women. Sexual orientation disparities in chronic disease risk, victimization, health care access, mental health, and smoking merit increased attention. More research on heterogeneity in health and health determinants among sexual minorities is needed.

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Chapter 1: HPV in the etiology of human cancer.

Nubia Muñoz, Xavier Castellsagué, Amy Berrington de Gonzalez … (2006)

The causal role of human papillomavirus (HPV) in all cancers of the uterine cervix has been firmly established biologically and epidemiologically. Most cancers of the vagina and anus are likewise caused by HPV, as are a fraction of cancers of the vulva, penis, and oropharynx. HPV-16 and -18 account for about 70% of cancers of the cervix, vagina, and anus and for about 30-40% of cancers of the vulva, penis, and oropharynx. Other cancers causally linked to HPV are non-melanoma skin cancer and cancer of the conjunctiva. Although HPV is a necessary cause of cervical cancer, it is not a sufficient cause. Thus, other cofactors are necessary for progression from cervical HPV infection to cancer. Long-term use of hormonal contraceptives, high parity, tobacco smoking, and co-infection with HIV have been identified as established cofactors; co-infection with Chlamydia trachomatis (CT) and herpes simplex virus type-2 (HSV-2), immunosuppression, and certain dietary deficiencies are other probable cofactors. Genetic and immunological host factors and viral factors other than type, such as variants of type, viral load and viral integration, are likely to be important but have not been clearly identified.

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Author and article information

Journal

Journal ID (iso-abbrev): Am J Public Health

Title: American journal of public health

ISSN (Electronic): 1541-0048

ISSN (Print): 0090-0036

Publication date (Electronic): Feb 2014

Volume: 104

Issue: 2

Affiliations

[1 ] Margaret Rosario is with the Department of Psychology, City College and Graduate Center, City University of New York. Heather L. Corliss and S. Bryn Austin are with the Division of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, MA. Bethany G. Everett is with the Department of Sociology, University of Illinois at Chicago. Sari L. Reisner is with the Fenway Institute, Boston. Francisco O. Buchting is with Buchting Consulting, Oakland, CA. Michelle Birkett is with the Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago.

Article

DOI: 10.2105/AJPH.2013.301506

PubMed ID: 24328632

SO-VID: 4b0ef74b-a594-4618-aeb0-028fad6e5226

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Sexual orientation disparities in cancer-related risk behaviors of tobacco, alcohol, sexual behaviors, and diet and physical activity: pooled Youth Risk Behavior Surveys.

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Most cited references 69

The adolescent brain.

A population-based study of sexual orientation identity and gender differences in adult health.

Chapter 1: HPV in the etiology of human cancer.

Author and article information

Journal

Affiliations

Article

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