TY - JOUR
T1 - Revictimization Is Associated With Higher Cardiometabolic Risk in Sexual Minority Women
AU - Caceres, Billy A.
AU - Wardecker, Britney M.
AU - Anderson, Jocelyn
AU - Hughes, Tonda L.
N1 - Funding Information:
Supported by the National Institute on Alcohol Abuse and Alcoholism , United States under award numbers R01AA013328 to Dr. Hughes and K23AA027288 to Dr. Anderson. Dr. Caceres was supported by an award from the National Heart, Lung, and Blood Institute , United States ( K01HL146965 ).
Publisher Copyright:
© 2021 Jacobs Institute of Women's Health
PY - 2021/7/1
Y1 - 2021/7/1
N2 - Objectives: Although there is evidence that interpersonal trauma is associated with cardiometabolic risk in women, previous studies have not assessed the potential role of revictimization (victimization in both childhood and adulthood) among sexual minority women. Methods: We used data from the Chicago Health and Life Experiences of Women study to examine the associations of revictimization (including physical, sexual, and any revictimization) with self-reported psychosocial factors, health behaviors, and cardiometabolic risk factors (e.g., obesity, hypertension, and diabetes). We tested multiple logistic regression models, adjusted for covariates, to estimate odds ratios of the associations between revictimization and cardiometabolic risk. Results: The sample included 615 sexual minority women with a mean age of 40.0 years; 38.7% White. Eighty-three (13.5%) and 101 (16.4%) participants reported experiencing sexual revictimization and physical revictimization, respectively. Each form of revictimization was associated with higher odds of reporting lifetime depression and recent binge eating, but lower odds of having high social support. Physical revictimization was associated with higher odds of obesity (adjusted odds ratio [AOR], 2.38; 95% confidence interval [CI], 1.38–4.10) and hypertension (AOR, 3.31; 95% CI, 1.70–6.46). Similarly, participants who reported any revictimization were more likely to have obesity (AOR, 2.36; 95% CI, 1.42–3.92) and hypertension (AOR, 2.60; 95% CI, 1.31–5.26). No form of revictimization was associated with a higher odds of diabetes. Conclusions: The higher odds of obesity and hypertension observed among sexual minority women who reported revictimization reinforce the need for early interventions to reduce cardiometabolic risk in this vulnerable population.
AB - Objectives: Although there is evidence that interpersonal trauma is associated with cardiometabolic risk in women, previous studies have not assessed the potential role of revictimization (victimization in both childhood and adulthood) among sexual minority women. Methods: We used data from the Chicago Health and Life Experiences of Women study to examine the associations of revictimization (including physical, sexual, and any revictimization) with self-reported psychosocial factors, health behaviors, and cardiometabolic risk factors (e.g., obesity, hypertension, and diabetes). We tested multiple logistic regression models, adjusted for covariates, to estimate odds ratios of the associations between revictimization and cardiometabolic risk. Results: The sample included 615 sexual minority women with a mean age of 40.0 years; 38.7% White. Eighty-three (13.5%) and 101 (16.4%) participants reported experiencing sexual revictimization and physical revictimization, respectively. Each form of revictimization was associated with higher odds of reporting lifetime depression and recent binge eating, but lower odds of having high social support. Physical revictimization was associated with higher odds of obesity (adjusted odds ratio [AOR], 2.38; 95% confidence interval [CI], 1.38–4.10) and hypertension (AOR, 3.31; 95% CI, 1.70–6.46). Similarly, participants who reported any revictimization were more likely to have obesity (AOR, 2.36; 95% CI, 1.42–3.92) and hypertension (AOR, 2.60; 95% CI, 1.31–5.26). No form of revictimization was associated with a higher odds of diabetes. Conclusions: The higher odds of obesity and hypertension observed among sexual minority women who reported revictimization reinforce the need for early interventions to reduce cardiometabolic risk in this vulnerable population.
UR - http://www.scopus.com/inward/record.url?scp=85103011546&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85103011546&partnerID=8YFLogxK
U2 - 10.1016/j.whi.2021.02.004
DO - 10.1016/j.whi.2021.02.004
M3 - Article
C2 - 33766475
AN - SCOPUS:85103011546
VL - 31
SP - 341
EP - 352
JO - Women's Health Issues
JF - Women's Health Issues
SN - 1049-3867
IS - 4
ER -