Table 3.
Sexual identity differences in awareness of heart attack and stroke symptoms, National Health Interview Survey (2014 & 2017; N=54,326)
| Women (n=29,918) | Men (n=24,408) | |||||
|---|---|---|---|---|---|---|
| Heart attack symptoms | Model 1 OR (95% CI) |
Model 2 AOR (95% CI) |
Model 3 AOR (95% CI) |
Model 1 OR (95% CI) |
Model 2 AOR (95% CI) |
Model 3 AOR (95% CI) |
| Aware of all heart attack symptoms | ||||||
| Heterosexual | Ref | Ref | Ref | Ref | Ref | Ref |
| Gay/Lesbian | 1.09 (0.84–1.41) | 1.15 (0.87–1.51) | 1.14 (0.86–1.50) | 0.93 (0.73–1.19) | 0.92 (0.72–1.18) | 0.89 (0.70–1.14) |
| Bisexual | 0.77 (0.58–1.02) | 0.94 (0.71–1.25) | 0.91 (0.68–1.21) | 0.70 (0.45–1.09) | 0.84 (0.53–1.32) | 0.80 (0.51–1.27) |
| “Something else” | 0.86 (0.52–1.42) | 0.95 (0.55–1.64) | 0.95 (0.55–1.64) | 0.62 (0.32–1.18) | 0.73 (0.36–1.45) | 0.71 (0.35–1.43) |
| Call 911 if heart attack symptoms | ||||||
| Heterosexual | Ref | Ref | Ref | Ref | Ref | Ref |
| Gay/Lesbian | 1.38 (0.72–2.64) | 1.27 (0.66–2.45) | 1.29 (0.67–2.46) | 2.29 (1.26–4.15) | 2.09 (1.14–3.82) | 2.16 (1.18–3.96) |
| Bisexual | 0.92 (0.57–1.49) | 0.76 (0.46–1.24) | 0.75 (0.46–1.23) | 2.61 (0.83–8.23) | 2.31 (0.74–7.16) | 2.32 (0.75–7.24) |
| “Something else” | 1.01 (0.37–2.75) | 0.89 (0.32–2.43) | 0.87 (0.32–2.41) | 0.86 (0.32–2.32) | 0.84 (0.31–2.28) | 0.86 (0.32–2.33) |
| Aware of heart attack symptoms and correct action | ||||||
| Heterosexual | Ref | Ref | Ref | Ref | Ref | Ref |
| Gay/Lesbian | 1.09 (0.84–1.42) | 1.14 (0.86–1.50) | 1.13 (0.86–1.49) | 0.99 (0.77–1.26) | 0.97 (0.76–1.24) | 0.95 (0.75–1.22) |
| Bisexual | 0.78 (0.59–1.03) | 0.92 (0.70–1.21) | 0.89 (0.67–1.18) | 0.72 (0.46–1.13) | 0.84 (0.53–1.33) | 0.81 (0.51–1.30) |
| “Something else” | 0.92 (0.56–1.52) | 1.00 (0.58–1.72) | 1.00 (0.58–1.72) | 0.64 (0.33–1.23) | 0.74 (0.37–1.49) | 0.73 (0.36–1.47) |
| Stroke symptoms | ||||||
| Aware of all stroke symptoms | ||||||
| Heterosexual | Ref | Ref | Ref | Ref | Ref | Ref |
| Gay/Lesbian | 1.19 (0.86–1.65) | 1.21 (0.87–1.69) | 1.22 (0.88–1.70) | 0.95 (0.72–1.25) | 0.90 (0.68–1.18) | 0.86 (0.65–1.13) |
| Bisexual | 1.22 (0.89–1.67) | 1.35 (0.97–1.88) | 1.33 (0.94–1.85) | 0.63 (0.38–1.03) | 0.68 (0.41–1.12) | 0.65 (0.39–1.07) |
| “Something else” | 1.76 (0.96–3.21) | 1.88 (1.03–3.44) | 1.89 (1.03–3.47) | 0.75 (0.41–1.36) | 0.84 (0.45–1.57) | 0.81 (0.43–1.54) |
| Call 911 if stroke symptoms | ||||||
| Heterosexual | Ref | Ref | Ref | Ref | Ref | Ref |
| Gay/Lesbian | 2.11 (0.84–5.35) | 1.98 (0.77–5.05) | 2.03 (0.80–5.18) | 1.49 (0.75–2.95) | 1.34 (0.68–2.68) | 1.41 (0.71–2.79) |
| Bisexual | 1.71 (0.84–3.47) | 1.51 (0.74–3.06) | 1.49 (0.73–3.04) | 0.84 (0.36–1.94) | 0.74 (0.32–1.73) | 0.76 (0.33–1.77) |
| “Something else” | 0.78 (0.26–2.40) | 0.70 (0.23–2.20) | 0.69 (0.22–2.15) | 0.73 (0.22–2.42) | 0.72 (0.22–2.40) | 0.77 (0.23–2.54) |
| Aware of stroke symptoms and correct action | ||||||
| Heterosexual | Ref | Ref | Ref | Ref | Ref | Ref |
| Gay/Lesbian | 1.21 (0.88–1.66) | 1.22 (0.88–1.70) | 1.23 (0.89–1.71) | 0.98 (0.75–1.29) | 0.92 (0.71–1.21) | 0.90 (0.68–1.1.7) |
| Bisexual | 1.23 (0.91–1.67) | 1.34 (0.97–1.84) | 1.31 (0.95–1.81) | 0.65 (0.36–1.05) | 0.69 (0.42–1.12) | 0.66 (0.40–1.08) |
| “Something else” | 1.67 (0.94–2.97) | 1.76 (0.98–3.14) | 1.76 (0.98–3.16) | 0.79 (0.22–1.43) | 0.88 (0.47–1.63) | 0.85 (0.45–1.62) |
Note. Boldface denotes statistical significance (p <0.05); Reference group = heterosexual same-sex participants. Model 1 was unadjusted; Model 2 added demographic characteristics; Model 3 added healthcare access and utilization, health information technology use, CVD risk factors, and CVD history.