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The high prevalence of overweightness and obesity among certain sexual minority populations is thought to be related to prejudice, homophobia, and amplified levels of stress that sexual and gender minorities face. There are limited population-based studies in the existing literature on LGB and body weight status, with much of what is currently known studied in small or regional samples and/or convenience sampling. In addition, previous research has found that when compared to heterosexual counterparts, lesbian and bisexual females have a higher risk of overweightness and obesity, whereas gay males have a decreased risk.
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Some prior studies suggest that sexual minority populations, such as lesbian, gay, and bisexual (LGB) groups, are more likely to be overweight when compared to straight peers. There is evidence that certain populations have a potentially heightened risk of overweightness and obesity (e.g., those with low socioeconomic status, older adults, and those with certain medical problems ). Obese individuals also have increased risk of several other cancers including liver, pancreatic, colorectal and other cancers. When compared to women with a healthy weight, overweight and obese women have significantly higher odds of developing endometrial cancer obese women with a BMI ≥ 40 are seven times as likely to develop this cancer. Accumulating evidence points to a positive association between obesity and some types of cancers. Obesity is associated with significant health risks, including hypertension, type 2 diabetes, coronary heart disease, stroke, and more. adults were obese (body mass index or BMI ≥ 30). Overweightness and obesity remain significant public health issues in the United States. Our results strengthen previous findings and further highlight the need for research by sexual minority subgroup. Bisexual females had significantly higher odds of being overweight (OR 1.21 95% CI 1.10–1.34) and obese (OR 1.43 95% CI 1.29–1.59), whereas bisexual males showed no significant difference. Similarly, lesbians were more likely to be obese (OR 1.49 95% CI 1.31–1.70), whereas gay men had significantly lower odds of obesity (OR 0.77 95% CI 0.69–0.86) when compared to straight adults. Compared to straight adults, lesbian females had significantly higher odds of being overweight (OR (odds ratio) 1.33 95% CI (confidence interval) 1.17–1.53), whereas gay males had significantly lower odds (OR 0.66 95% CI 0.59–0.73). In addition, subgroup analyses were performed for both males and females. The propensity score matching technique was used to address covariate imbalance among sexual identity groups. We grouped participants according to sexual identity (straight, lesbian or gay, bisexual, and other/don’t know/not sure). Data were drawn from 2014–2017 Behavioral Risk Factor Surveillance System (BRFSS) surveys ( n = 716,609). In the present study, we examined whether overweightness and obesity vary by sexual minority subgroup using a large, nationally representative sample. There is evidence that sexual minority populations have a potentially heightened risk of poor health outcomes due in part to the discrimination they may face.