title: Hispanic lesbians and bisexual women at heightened risk for [corrected] health disparities.
abstract: OBJECTIVE
  We investigated whether elevated risks of health disparities exist in Hispanic lesbians and bisexual women aged 18 years and older compared with non-Hispanic White lesbians and bisexual women and Hispanic heterosexual women.
  
  
  METHODS
  We analyzed population-based data from the Washington State Behavioral Risk Factor Surveillance System (2003-2009) using adjusted logistic regressions.
  
  
  RESULTS
  Hispanic lesbians and bisexual women, compared with Hispanic heterosexual women, were at elevated risk for disparities in smoking, asthma, and disability. Hispanic bisexual women also showed higher odds of arthritis, acute drinking, poor general health, and frequent mental distress compared with Hispanic heterosexual women. In addition, Hispanic bisexual women were more likely to report frequent mental distress than were non-Hispanic White bisexual women. Hispanic lesbians were more likely to report asthma than were non-Hispanic White lesbians.
  
  
  CONCLUSIONS
  The elevated risk of health disparities in Hispanic lesbians and bisexual women are primarily associated with sexual orientation. Yet, the elevated prevalence of mental distress for Hispanic bisexual women and asthma for Hispanic lesbians appears to result from the cumulative risk of doubly disadvantaged statuses. Efforts are needed to address unique health concerns of diverse lesbians and bisexual women.
authors.affiliation: School of Social Work, University of Washington, Seattle, WA, USA. hyunjkim@u.washington.edu
authors.forename: Hyun-Jun
authors.initials: HJ
authors.lastname: Kim
authors.forename: Karen I
authors.initials: KI
authors.lastname: Fredriksen-Goldsen
mesh_terms: D000328:Adult; D001249:Asthma / Q000453:epidemiology; D001727:Bisexuality / Q000706:statistics & numerical data*; D006233:Persons with Disabilities / Q000706:statistics & numerical data; D005260:Female; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D018452:Homosexuality, Female / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D011159:Population Surveillance; D015995:Prevalence; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology; D013315:Stress, Psychological / Q000453:epidemiology; D014861:Washington / Q000453:epidemiology
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