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We sought to examine sexual identity differences in CVH using the American Heart Association\u2019s composite measure of ideal CVH, which provides a more comprehensive assessment of future CVD risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from the All of Us Research Program were analyzed. Sexual identity was categorized as heterosexual, gay\/lesbian, bisexual, or other. Individual CVH health metrics and cumulative ideal CVH (range 0-100) were assessed. We ran sex-stratified multiple linear regression models to estimate differences across individual CVH metrics and cumulative ideal CVH between sexual minority and heterosexual adults. We also explored differences in CVH across racial\/ethnic and age groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The sample included 11\u00a0047 cisgender adults with a mean age of 61.1 years (\u00b1\u200513.85); 80% were non-Hispanic White. Lesbian women, gay men, and bisexual women reported greater nicotine exposure than their heterosexual counterparts. Compared to heterosexual men, gay men (B [95% CI]\u2005=\u2005\u22128.95 [\u221214.50, \u22123.39]) had worse physical activity scores. Gay men also had better body mass index scores than heterosexual men (B [95% CI]\u2005=\u20053.21 [0.09, 6.33]). Bisexual women and men had lower cumulative ideal CVH scores than heterosexual adults. Exploratory analyses revealed several differences in individual CVH metrics and cumulative ideal CVH across racial\/ethnic and age groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Clinical interventions to improve the CVH of bisexual adults are needed. Findings can inform the design of interventions that are tailored for specific subgroups of sexual minority adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/abm\/kaaf032","type":"journal-article","created":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T19:51:06Z","timestamp":1742673066000},"source":"Crossref","is-referenced-by-count":2,"title":["Sexual identity differences in ideal cardiovascular health among cisgender adults in the All of Us Research Program"],"prefix":"10.1093","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6865-5546","authenticated-orcid":false,"given":"Billy A","family":"Caceres","sequence":"first","affiliation":[{"name":"Center for Sexual and Gender Minority Health Research, Columbia University School of Nursing , 560 West 168th Street, Room 603, New York, NY 10032 ,","place":["United 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CA 94305 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vince","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Emory University Rollins School of Public Health , Atlanta, GA, 30322 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7745-8501","authenticated-orcid":false,"given":"Ipek","family":"Ensari","sequence":"additional","affiliation":[{"name":"Hasso Plattner Institute for Digital Health at Icahn School of Medicine at Mount Sinai , New York, NY 10029 ,","place":["United States"]},{"name":"Department of Artificial Intelligence and Human Health, Icahn School of Medicine at Mount Sinai , New York, NY 10029 ,","place":["United 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