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Research ArticleOriginal Research

Between and Within Sexual Identity-Group Differences in Asthma Prevalence in the United States

David Adzrago, Samuel H Nyarko, Nnenna Ananaba, Matt Asare, Emmanuel Odame, Antwan Jones, Timir K Paul and Hadii M Mamudu
Respiratory Care March 2022, 67 (3) 331-338; DOI: https://doi.org/10.4187/respcare.09258
David Adzrago
Center for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at Houston, Houston, Texas.
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  • For correspondence: [email protected]
Samuel H Nyarko
Department of Epidemiology, Human Genetics and Environmental Sciences, UTHealth School of Public Health, Houston, Texas.
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Nnenna Ananaba
Center for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at Houston, Houston, Texas.
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Matt Asare
Department of Public Health, Robbins College of Health and Human Sciences, Baylor University, Waco, Texas.
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Emmanuel Odame
Department of Environmental Health Sciences, University of Alabama at Birmingham, Birmingham, Alabama.
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Antwan Jones
Department of Sociology and Department of Epidemiology, The George Washington University, Washington, District of Columbia.
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Timir K Paul
University of Tennessee at Nashville, Nashville, Tennessee.
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Hadii M Mamudu
Department of Health Services Management and Policy, College of Public Health, East Tennessee State University, Johnson City, Tennessee.
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Abstract

BACKGROUND: Although prior studies have established the association of asthma with smoking and obesity, literature on difference-in-differences analyses involving sexual identity is sparse. Therefore, this study aimed to examine the between and within sexual identity-group differences in asthma prevalence among individuals who smoke and are obese.

METHODS: We aggregated the 2017–2019 National Survey on Drug Use and Health data on adults (N = 128,319) to perform weighted multivariable logistic regression analysis and marginal estimates and marginsplot to determine asthma prevalence by sexual identity and the status of smoking and obesity.

RESULTS: About 66% of the study population reported having asthma. Among the individuals with asthma, 42% were obese, 10% were daily cigarette smokers, and 6% identified as bisexual persons. Lesbian/gay daily smokers (86%) or former smokers (75%) had a higher probability of having asthma than bisexual (daily smokers = 78% vs former smokers = 72%) and heterosexual (daily smokers = 68% vs former smokers = 65%) persons. Within each sexual identity subgroup, daily smokers (68–86%) had the highest probability of asthma. Obese bisexual (73%) or lesbian/gay (72%) persons had higher probabilities of having asthma than heterosexual persons (69%). Obese (73%) or overweight (72%) bisexual (compared to normal weight = 70% or underweight = 51%) and obese (69%) or overweight (65%) heterosexual (compared to normal weight = 62% or underweight = 57%) persons had the highest probabilities of having asthma within their groups, whereas overweight persons (overweight = 81% vs underweight = 79%, normal weight = 78%, and obese = 72%) had the highest probabilities within lesbian/gay persons.

CONCLUSIONS: Smoking and obesity show heightened odds for asthma, with significant odds for sexual minorities in asthma diagnosis relative to heterosexuals. These findings provide formative information for future longitudinal and experimental studies to explore these mechanisms of asthma risks among sexual and gender minorities.

  • asthma
  • sexual and gender minorities
  • smoking
  • obesity

Footnotes

  • Correspondence: David Adzrago MPhil MSW, 7000 Fannin, Suite 2502A, Houston, TX 77030. E-mail: David.Adzrago{at}uth.tmc.edu
  • The authors have disclosed no conflicts of interest.

  • Copyright © 2022 by Daedalus Enterprises
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Respiratory Care: 67 (3)
Respiratory Care
Vol. 67, Issue 3
1 Mar 2022
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Between and Within Sexual Identity-Group Differences in Asthma Prevalence in the United States
David Adzrago, Samuel H Nyarko, Nnenna Ananaba, Matt Asare, Emmanuel Odame, Antwan Jones, Timir K Paul, Hadii M Mamudu
Respiratory Care Mar 2022, 67 (3) 331-338; DOI: 10.4187/respcare.09258

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Between and Within Sexual Identity-Group Differences in Asthma Prevalence in the United States
David Adzrago, Samuel H Nyarko, Nnenna Ananaba, Matt Asare, Emmanuel Odame, Antwan Jones, Timir K Paul, Hadii M Mamudu
Respiratory Care Mar 2022, 67 (3) 331-338; DOI: 10.4187/respcare.09258
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Keywords

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  • smoking
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