{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T18:55:19Z","timestamp":1783018519937,"version":"3.54.6"},"reference-count":57,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["LGBT Health"],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Cardiovascular diseases (CVDs) are a significant cause of death, with health conditions and lifestyle behaviors playing essential roles. We sought to explore CVD risk classes, their associations with self-reported CVD, and differences among classes as a function of intersectional minority stressors (IMS) among sexual and gender minority people of color (SGM POC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A sample of 232 SGM POC (mean age = 33.50 \u00b1 9.77) completed an online survey in 2020 assessing CVD risk indicators and specific IMS, measured using the LGBT People of Color Microaggressions Scale subscales. Latent class analyses were conducted to identify CVD risk classes, followed by logistic regressions to examine associations between classes and self-reported CVD, classes and IMS on self-reported CVD, and interactions between the classes and IMS on self-reported CVD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Three classes emerged: a low-risk class with low probabilities for all indicators, a lifestyle-risk class with high probabilities for smoking, alcohol use, and substance use, and a high-risk class with greater probabilities for most CVD indicators. Significant interactions showed that increased LGBT racism was associated with a lower likelihood of self-reported CVD (\n                      <jats:italic toggle=\"yes\">b<\/jats:italic>\n                      = \u22120.40, standard error [SE] = 0.19, adjusted odds ratio [aOR] = 0.67,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.036) whereas greater heterosexism within communities of color (\n                      <jats:italic toggle=\"yes\">b<\/jats:italic>\n                      = 0.57, SE = 0.22, aOR = 1.77,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.008) was associated with a higher likelihood of self-reported CVD in the high-risk compared with the low-risk class.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These exploratory findings support the existence of three distinct CVD risk classes among SGM POC and highlight that specific IMS moderate CVD risk for SGM POC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23258292261452696","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T13:30:50Z","timestamp":1781703050000},"page":"215-224","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cardiovascular Disease Risk Factors, Intersectional Minority Stressors, and Self-Reported Cardiovascular Disease Among Sexual and Gender Minority People of Color: An Exploratory Latent Class Analysis"],"prefix":"10.1177","volume":"13","author":[{"given":"Jonathan A.","family":"Pedroza","sequence":"first","affiliation":[{"name":"Department of Psychology, College of Humanities and Social Sciences, California State University, Fullerton, Fullerton, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan G.","family":"Serpas","sequence":"additional","affiliation":[{"name":"Department of Psychology, College of Arts &amp; Sciences, University of South Florida, Tampa, Florida, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5028-3200","authenticated-orcid":false,"given":"James J.","family":"Guardado-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Psychology, College of Health and Community Well-Being, University of La Verne, La Verne, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David G.","family":"Zelaya","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Social Sciences, Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, Rhode Island, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew S.","family":"Alcala","sequence":"additional","affiliation":[{"name":"Orange County Health Psychologists, Inc., Irvine, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlyn","family":"Keys","sequence":"additional","affiliation":[{"name":"Department of Psychology, College of Humanities and Social Sciences, California State University, Fullerton, Fullerton, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"e_1_3_3_2_1","first-page":"e41","article-title":"2025 heart disease and stroke statistics: A report of US and global data from the American Heart Association","volume":"151","author":"Martin SS","year":"2025","unstructured":"1.Martin SS, , Aday AW, , Allen NB, , American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Committee. et al.; 2025 heart disease and stroke statistics: A report of US and global data from the American Heart Association. 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Sexual orientation and gender identity (SOGI) adult measures recommendations FAQs. Los Angeles CA https:\/\/williamsinstitute.law.ucla.edu\/wp-content\/uploads\/SOGI-Measures-FAQ-Mar-2020.pdf (2020 accessed 19 May 2026)."},{"key":"e_1_3_3_37_1","unstructured":"36.Office of Management and Budget. Revisions to the standards for the classification of federal data on race and ethnicity. Washington DC https:\/\/obamawhitehouse.archives.gov\/omb\/fedreg_1997standards.pdf (1997 accessed 19 May 2026)."},{"key":"e_1_3_3_38_1","doi-asserted-by":"publisher","DOI":"10.1157\/13116658"},{"key":"e_1_3_3_39_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_3_3_40_1","unstructured":"39.Skinner HA. Guide for using the Drug Abuse Screening Test (DAST). Toronto Canada: Centre for Addiction and Mental Health https:\/\/socwel.ku.edu\/sites\/socwel\/files\/documents\/Research%20Projects\/Family%20First\/Survey%20Measures\/DAST%20Guide%202019%20-%20Remediated.pdf (2025 accessed 10 September 2025)."},{"key":"e_1_3_3_41_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.16.1789"},{"key":"e_1_3_3_42_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0231022"},{"key":"e_1_3_3_43_1","unstructured":"42.R Core Team. R: A language and environment for statistical computing. Report. 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