Details

Autor(en) / Beteiligte

• Taweh, Omar
• Moreira, Jesse D

Titel

Proposed mechanisms of hypertension and risk of adverse cardiovascular outcomes in LGBT communities

Ist Teil von

• American journal of physiology. Heart and circulatory physiology, 2023-09, Vol.325 (3), p.H522-H528

Ort / Verlag

United States: American Physiological Society

Erscheinungsjahr

2023

Quelle

MEDLINE

Beschreibungen/Notizen

• Hypertension (HTN), a highly prevalent public issue affecting one in two adults in the United States, has recently been shown to differentially burden individuals belonging to marginalized communities, such as the lesbian, gay, bisexual, and transgender (LGBT) communities. The minority stress theory posits that a unique combination of marginalization-related psychosocial stressors and coping behaviors may underlie the increased burden of diseases like HTN in LGBT populations. Uncontrolled or poorly managed HTN often leads to the development of adverse cardiovascular outcomes, such as heart failure (HF). Despite our understanding of minority stress theory and demonstrated associations between LGBT identities and HTN, the mechanisms whereby psychosocial stress drives HTN in LGBT populations remain unclear. This mini-review discusses the physiological systems governing blood pressure and the epidemiology of HTN across different subgroups of LGBT people. In addition, we propose mechanisms demonstrated in the general population whereby psychological stress has been implicated in elevating blood pressure that may be occurring in LGBT populations. Finally, we discuss the limitations of current studies and methodological frameworks to make suggestions for study designs to better delineate the mechanisms of psychosocial stress-related HTN in LGBT communities.