{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:45:41Z","timestamp":1791917141096,"version":"4.3.4"},"reference-count":42,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["R01 HL137246"],"award-info":[{"award-number":["R01 HL137246"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>We compared objective measures of cardiometabolic health (CMH) between women who identify as lesbian\/gay or bisexual (LGB) and women who identify as heterosexual. In addition, we aimed to test whether group differences in stress reactivity partially explained disparities in CMH health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants from a longitudinal study were identified for enrollment in 2017. The LGB group self-identified as LGB in 2017 (n\u2009=\u2009239), and the heterosexual group identified as straight or heterosexual in each year that sexual identity was asked (study years 2010\u20132017) (n\u2009=\u2009160). CMH was assessed via measurements and biomarkers, and stress reactivity via heart rate variability and cortisol levels during a social stress test. Participants also provided self-reports of stress and health. We tested group differences using sexual identity at Study Year 17, at the time of the visit, and as a proportion of years identifying as LGB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Group differences were tested using t-tests for continuous measures, logistic regression for dichotomous measures, and repeated-measures ANOVA for change over time. There were no significant differences in measures of CMH or stress reactivity by sexual identity group. LGB participants had worse self-reported health and higher levels of stress compared to heterosexual participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>We discuss several frameworks for interpreting the present results of no differences in objective markers of health in the context of the existing literature, including developmental, socio-political, and methodological frameworks, and suggest directions for research to link the previous research with the results of the current study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0358185","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T17:51:58Z","timestamp":1791913918000},"page":"e0358185","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reassessing cardiometabolic health disparities among young adult sexual minority women: Evidence from a population-based cohort"],"prefix":"10.1371","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1775-8171","authenticated-orcid":true,"given":"Kate","family":"Keenan","sequence":"first","affiliation":[{"name":"University of Chicago","place":["Chicago, Illinois, United States of America"],"department":["Department of Psychiatry and Behavioral Neuroscience"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie D.","family":"Stepp","sequence":"additional","affiliation":[{"name":"University of Pittsburgh","place":["Pittsburgh, Pennsylvania, United States of America"],"department":["Department of Psychiatry"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alida","family":"Bouris","sequence":"additional","affiliation":[{"name":"University of Chicago","place":["Chicago, Illinois, United States of America"],"department":["Crown Family School of Social 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