The Impact of Multiple Minority Statuses on Allostatic Load Scores for Sexual Minorities




Weeks, Steven Douglas

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This study explores intersectional identities among sexual minorities and examines factors that influence the accumulation of risk to health over the life course. An allostatic load (AL) score is a measurement compiled from biomarkers that captures and measures the effects of persistent health insults over time. Data from The National Longitudinal Study of Adolescent to Adult Health (Add Health) were used to create AL scores from biomarkers collected from individuals during young adulthood and middle age. AL scores are analyzed longitudinally using a generalized estimating equation and a linear mixed model to identify individual process, intra-social contexts, structural inequities and systemic repressions that are protective or adverse to health for sexual minorities with intersecting identities. Compared to straight white men, recent research has shown that gay white men acquire enhanced privilege and access to resources that lead to improved AL scores, which are not available to straight men or to women and racial/ethnic minorities who are additionally penalized for having intersectional minoritized statuses resulting in higher AL scores.


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Sexual minorities, Allostatic load, Intersectional identities



Applied Demography