University of Massachusetts Medical School Faculty Publications

Title

Mortality in Postmenopausal Women by Sexual Orientation and Veteran Status

UMMS Affiliation

Department of Quantitative Health Sciences

Date

2-1-2016

Document Type

Article

Disciplines

Geriatrics | Women's Health

Abstract

PURPOSE OF THE STUDY: To examine differences in all-cause and cause-specific mortality by sexual orientation and Veteran status among older women.

ESIGN AND METHODS: Data were from the Women's Health Initiative, with demographic characteristics, psychosocial factors, and health behaviors assessed at baseline (1993-1998) and mortality status from all available data sources through 2014. Women with baseline information on lifetime sexual behavior and Veteran status were included in the analyses (N = 137,639; 1.4% sexual minority, 2.5% Veteran). The four comparison groups included sexual minority Veterans, sexual minority non-Veterans, heterosexual Veterans, and heterosexual non-Veterans. Cox proportional hazard models were used to estimate mortality risk adjusted for demographic, psychosocial, and health variables.

RESULTS: Sexual minority women had greater all-cause mortality risk than heterosexual women regardless of Veteran status (hazard ratio [HR] = 1.20, 95% confidence interval [CI]: 1.07-1.36) and women Veterans had greater all-cause mortality risk than non-Veterans regardless of sexual orientation (HR = 1.14, 95% CI: 1.06-1.22), but the interaction between sexual orientation and Veteran status was not significant. Sexual minority women were also at greater risk than heterosexual women for cancer-specific mortality, with effects stronger among Veterans compared to non-Veterans (sexual minority x Veteran HR = 1.70, 95% CI: 1.01-2.85).

IMPLICATIONS: Postmenopausal sexual minority women in the United States, regardless of Veteran status, may be at higher risk for earlier death compared to heterosexuals. Sexual minority women Veterans may have higher risk of cancer-specific mortality compared to their heterosexual counterparts. Examining social determinants of longevity may be an important step to understanding and reducing these disparities.

Rights and Permissions

Citation: Gerontologist. 2016 Feb;56 Suppl 1:S150-62. doi: 10.1093/geront/gnv125. Link to article on publisher's site

Comments

Full author list omitted for brevity. For full list of authors see article.

Related Resources

Link to Article in PubMed

Keywords

All-cause mortality, Sexual minority, Women Veterans

PubMed ID

26768389