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Research ArticleOriginal Research

Comparison of Medical Diagnoses among Same-Sex and Opposite-Sex-Partnered Patients

Katie M. Heiden-Rootes, Joanne Salas, Jeffrey F. Scherrer, F. David Schneider and Craig W. Smith
The Journal of the American Board of Family Medicine November 2016, 29 (6) 688-693; DOI: https://doi.org/10.3122/jabfm.2016.06.160047
Katie M. Heiden-Rootes
From the Department of Family and Community Medicine, Saint Louis University School of Medicine, St. Louis, MO.
PhD, LMFT
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Joanne Salas
From the Department of Family and Community Medicine, Saint Louis University School of Medicine, St. Louis, MO.
MPH
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Jeffrey F. Scherrer
From the Department of Family and Community Medicine, Saint Louis University School of Medicine, St. Louis, MO.
PhD
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F. David Schneider
From the Department of Family and Community Medicine, Saint Louis University School of Medicine, St. Louis, MO.
MD, MSPH
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Craig W. Smith
From the Department of Family and Community Medicine, Saint Louis University School of Medicine, St. Louis, MO.
PhD, LMFT
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Article Figures & Data

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    Table 1.

    Demographics and Chronic Disease Comparisons among Females, by Sexual Partner Groups (n = 8088)

    Sex of Partner, GenderP Value
    Opposite Sex, Female (n = 7812)Same Sex, Female (n = 276)
    Patients (n)% or Mean (95% CI)Patients (n)% or Mean (95% CI)
    Age, mean781241.43 (41.14–41.73)27641.25 (39.71–42.79).821
    White race478561.3 (60.2–62.3)17262.3 (56.6–68.0).721
    SES index.007
        Lowest181123.2 (22.2–24.1)8229.7 (24.3–35.1)
        Lower middle194724.9 (24.0–25.9)7928.6 (23.3–33.9)
        Upper middle220628.2 (27.2–29.2)5921.4 (16.5–26.2)
        Highest184823.7 (22.7–24.6)5620.3 (15.5–25.0)
    Clinic utilization*
        75th percentile (highest)196925.2 (24.2–26.2)8932.2 (26.7–37.8).053
        51st-75th percentiles209126.8 (25.8–27.7)6925.0 (19.9–30.1)
        26th-50th percentiles198325.4 (24.4–26.3)6724.3 (19.2–29.3)
        25th percentile (lowest)176922.6 (21.7–23.6)5118.5 (13.9–23.1)
    Depression7459.5 (8.9–10.2)3914.1 (10.0–18.2).011
    Any anxiety6628.5 (7.9–9.1)248.7 (5.4–12.0).897
    Any substance dependence1501.9 (1.6–2.2)103.6 (1.4–5.8).046
    Neuropathy4005.1 (4.6–5.6)145.1 (2.5–7.7).972
    Headache120015.4 (14.6–16.2)5118.5 (13.9–23.1).159
    Back pain161620.7 (19.8–21.6)5921.4 (16.5–26.2).781
    Muscle pain170621.8 (20.9–22.7)6322.8 (17.9–27.8).696
    Arthritis187824.0 (23.1–25.0)7727.9 (22.6–33.2).141
    Smoking status<.0001
        Never538268.9 (67.9–69.9)15957.6 (51.8–63.4)
        Former102913.2 (12.4–13.9)4114.9 (10.6–19.1)
        Current140117.9 (17.1–18.8)7627.5 (22.3–32.8)
    Hyperlipidemia111614.3 (13.5–15.1)3111.2 (7.5–15.0).153
    Hypertension171421.9 (21.0–22.8)5720.7 (15.9–25.4).611
    Vascular disease5136.6 (6.0–7.1)196.9 (3.9–9.9).835
    Prediabetes6107.8 (7.2–8.4)259.1 (5.7–12.4).448
    Type 2 diabetes5657.2 (6.6–7.8)165.8 (3.0–8.6).364
    Obesity300838.5 (37.4–39.6)13247.8 (41.9–53.7).002
    Comorbidity index, mean78120.50 (0.48–0.53)2760.56 (0.42–0.70).394
    • ↵* Quartiles computed from the distribution of average clinic visits per month.

    • CI, confidence interval.

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    Table 2.

    Demographics and Chronic Disease Comparisons among Males, by Sexual Partner Groups (n = 5421)

    Sex Partner, GenderP Value
    Opposite Sex, Male (n = 5126)Same Sex, Male (n = 295)
    Patients (n)% or Mean (95% CI)Patients (n)% or Mean (95% CI)
    Age, mean years512644.53 (44.13–44.92)29542.33 (40.65–44.01).011
    White race332564.9 (63.5–66.2)22074.6 (69.6–79.5).001
    SES index<.0001
        Lowest120523.5 (22.3–24.7)7324.8 (19.8–29.7)
        Lower middle126624.7 (23.5–25.9)10435.3 (29.8–40.7)
        Upper middle127324.8 (23.6–26.0)8027.1 (22.0–32.2)
        Highest138227.0 (25.7–28.2)3812.9 (9.1–16.7)
    Clinic utilization*
        75th percentile (highest)124024.2 (23.0–25.4)7224.4 (19.5–29.3).365
        51st-75th percentiles128425.0 (23.9–26.2)8629.2 (24.0–34.3)
        26th-50th percentiles146828.6 (27.4–29.9)7425.1 (20.1–30.0)
        25th percentile (lowest)113422.1 (21.0–23.3)6321.4 (16.7–26.0)
    Depression2805.5 (4.8–6.1)3010.2 (6.7–13.6).001
    Any anxiety2605.1 (4.5–5.7)248.1 (5.0–11.3).022
    Any substance dependence2835.5 (4.9–6.1)258.5 (5.3–11.7).033
    Neuropathy2965.8 (5.1–6.4)217.1 (4.2–10.0).339
    Headache3216.3 (5.6–6.9)248.1 (5.0–11.3).200
    Back pain99819.5 (18.4–20.6)4615.6 (11.4–19.7).101
    Muscle pain112622.0 (20.8–23.1)7224.4 (19.5–29.3).326
    Arthritis117322.9 (21.7–24.0)5117.3 (13.0–21.6).025
    Smoking status.011
        Never289856.5 (55.2–57.9)15853.6 (47.9–59.3)
        Former86516.9 (15.8–17.9)3712.5 (8.8–16.3)
        Current136326.6 (25.4–27.8)10033.9 (28.5–39.3)
    Hyperlipidemia128325.0 (23.8–26.2)7726.1 (21.1–31.1).680
    Hypertension150729.4 (28.1–30.6)8528.8 (23.6–34.0).830
    Vascular disease61111.9 (11.0–12.8)279.2 (5.9–12.4).152
    Prediabetes4739.2 (8.4–10.0)186.1 (3.4–8.8).069
    Type 2 diabetes55310.8 (9.9–11.6)248.1 (5.0–11.2).151
    Obesity203439.7 (38.3–41.0)10836.6 (31.1–42.1).294
    Comorbidity index, mean51260.72 (0.68–0.77)2950.92 (0.70–1.14).045
    • ↵* Quartiles computed from the distribution of average clinic visits per month.

    • CI, confidence interval.

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The Journal of the American Board of Family     Medicine: 29 (6)
The Journal of the American Board of Family Medicine
Vol. 29, Issue 6
November-December 2016
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Comparison of Medical Diagnoses among Same-Sex and Opposite-Sex-Partnered Patients
Katie M. Heiden-Rootes, Joanne Salas, Jeffrey F. Scherrer, F. David Schneider, Craig W. Smith
The Journal of the American Board of Family Medicine Nov 2016, 29 (6) 688-693; DOI: 10.3122/jabfm.2016.06.160047

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Comparison of Medical Diagnoses among Same-Sex and Opposite-Sex-Partnered Patients
Katie M. Heiden-Rootes, Joanne Salas, Jeffrey F. Scherrer, F. David Schneider, Craig W. Smith
The Journal of the American Board of Family Medicine Nov 2016, 29 (6) 688-693; DOI: 10.3122/jabfm.2016.06.160047
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Keywords

  • Asthma
  • Chronic Disease
  • Depression
  • Diabetes Mellitus
  • Disclosure
  • HIV Infections
  • Homosexuality
  • Loneliness
  • Medical Records
  • Obesity
  • Prevalence
  • Primary Health Care
  • Self Report
  • Sexual Partners
  • Smoking
  • Social Stigma
  • Substance-Related Disorders

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