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Several known factors (eg, smoking) elevate risk of poor bone health, but to date little research has examined disparities in bone health among SM people. To address this, we analyzed sexual orientation differences in an available bone mineral density (BMD) cross\u2010sectional dataset assessed via dual X\u2010ray absorptiometry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We combined the 2007 to 2008, 2009 to 2010, and 2013 to 2014\u2009cycles of US National Health and Nutrition Examination Survey to examine sexual orientation\u2010based differences in <jats:italic>z<\/jats:italic>\u2010scored BMD in the proximal femur (greater trochanter and intertrochanter locations), bone mineral content (BMC) in the femur and spine, and osteoporosis risk among Lesbian\/Gay (n\u00a0=\u00a053), Bisexual (n\u00a0=\u00a097), Same\u2010Sex Experienced (n\u00a0=\u00a0103), and Heterosexual (n\u00a0=\u00a02990) adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sexual orientation\u2010based disparities in bone mass were observed across all anatomical sites. This effect was due to differences between heterosexual and gay men and persisted in linear regressions after adjusting for risk factors. We found differences in femoral and femoral neck BMC in heterosexual and gay men (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.02) and in femoral, femoral neck and spinal BMC between heterosexual and bisexual women (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.05). Sexual orientation remained significant in BMC regressions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings suggest that SM men but not women are at greater risk for poor bone health relative to heterosexuals and this disparity is independent of the lifestyle and psychosocial risks included in our models.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajhb.23534","type":"journal-article","created":{"date-parts":[[2020,11,11]],"date-time":"2020-11-11T12:11:42Z","timestamp":1605096702000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Sexual <scp>orientation\u2010based<\/scp> disparities in bone health: Evidence of reduced bone mineral density and mineral content among sexual minority men but not women in multiple <scp>NHANES<\/scp> waves"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1334-5433","authenticated-orcid":false,"given":"James K.","family":"Gibb","sequence":"first","affiliation":[{"name":"Department of Anthropology University of Toronto  Toronto Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3615-5931","authenticated-orcid":false,"given":"Eric C.","family":"Shattuck","sequence":"additional","affiliation":[{"name":"Institute for Health Disparities Research University of Texas at San Antonio  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,11,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-12-92"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2006.01276.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.111.106666"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajhb.23108"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-244X-14-10"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsbmb.2010.03.091"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2005.02.010"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964-012-9901-5"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jbmr.2249"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12018-009-9064-4"},{"key":"e_1_2_9_12_1","unstructured":"Centers for Disease Control and Prevention (CDC). 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