Evidence map›Paper›PMID 40010551›Full record

ArticleBrain, behavior, and immunity2025

LGBTQ+ identity and its association with inflammation and cellular immune function.

Ethan Morgan, Claire M Kamp Dush, Thomas W McDade, Juan Peng, Rebecca R Andridge, Steve W Cole, Wendy Manning, Lisa M Christian

Erratum issuedAbstract read
In one paragraph

Article in Brain, behavior, and immunity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Self-rated health and inflammation: Associations among partnered sexual minority and heterosexual adults.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ethan MorganCollege of Nursing, The Ohio State University, Columbus, OH, USA; Infectious Disease Institute, The Ohio State University, Columbus, OH, USA. Electronic address: morgan.1691@osu.edu.
Claire M Kamp DushMinnesota Population Center, University of Minnesota Twin Cities, Minneapolis, MN, USA.
Thomas W McDadeDepartment of Anthropology, Northwestern University, Evanston, IL, USA; Institute for Policy Research, Northwestern University, Evanston, IL, USA.
Juan PengCenter for Biostatistics, College of Medicine, The Ohio State University, Columbus, OH, USA.
Rebecca R AndridgeDivision of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH, USA.
Steve W ColeDepartment of Psychiatry & Biobehavioral Sciences and Medicine, UCLA School of Medicine, Los Angeles, CA, USA.
Wendy ManningDepartment of Sociology, Bowling Green State University, Bowling Green, OH, USA.
Lisa M ChristianDepartment of Psychiatry & Behavioral Health, The Ohio State University Wexner Medical Center, Columbus, OH, USA; The Institute for Behavioral Medicine Research, The Ohio State University Wexner Medical Center, Columbus, OH, USA.

Funding

Institute for Population ResearchP2CHD058484 · NICHD · OHIO STATE UNIVERSITY · PI HAYFORD, SARAH R · 2014 to 2023
$5.0M
Minnesota Population Center Science and Technical CoreP2CHD041023 · NICHD · UNIVERSITY OF MINNESOTA · PI THERESA LOUISE OSYPUK · 2016 to 2026
$4.3M
Mechanisms Underlying Sexual Minority Health Disparities in the United StatesR01HD094081 · NICHD · UNIVERSITY OF MINNESOTA · PI Claire M Kamp Dush, WENDY D. MANNING · 2018 to 2026
$4.3M
The All-or-Nothing Marriage? Marital Functioning and Health Among Individuals in Same and Different-Gender MarriagesR01AG060944 · NIA · UNIVERSITY OF MINNESOTA · PI KAMP DUSH, CLAIRE M · 2019 to 2023
$2.4M
Unequal Parenthoods: Population Perspectives on Gender, Race, and Sexual Minority Disparities in Family Stress and Health During CrisesU01HD108779 · NICHD · UNIVERSITY OF MINNESOTA · PI KAMP DUSH, CLAIRE M, MEIER, ANN M · 2021 to 2025
$2.1M
Computing and Data CoreP2CHD050959 · NICHD · BOWLING GREEN STATE UNIVERSITY · PI BROWN, SUSAN L. · 2016 to 2021
$1.2M
The National Couples Health and Time Use Stress Biology Study (NCHAT-BIO): Biobehavioral Pathways to Population Health Disparities in Sexual MinoritiesR21MD018158 · NIMHD · OHIO STATE UNIVERSITY · PI CHRISTIAN, LISA MICHELLE, MORGAN, ETHAN · 2023 to 2024
$464k
Archiving for Minority Health: Documenting the National Couples' Health and Time StudyR03HD107126 · NICHD · UNIVERSITY OF MINNESOTA · PI KAMP DUSH, CLAIRE M · 2021 to 2022
$155k
NIA NIH HHS R01 AG060944NICHD NIH HHS P2C HD041023NICHD NIH HHS P2C HD050959NICHD NIH HHS P2C HD058484NICHD NIH HHS R01 HD094081NICHD NIH HHS R03 HD107126NICHD NIH HHS U01 HD108779NIMHD NIH HHS R21 MD018158
6 · The paper itself

Abstract

Self-identification among lesbian, gay, transgender, queer, and other sexual minorities (LGBTQ+) is complex and multifaceted, yet few studies have examined its impact on immune parameters. The National Couples' Health and Time Study (NCHAT) is a nationally-representative cohort of 3,642 adult main respondents, ages 20 to 60 years, who are married or cohabiting, among whom 45 % self-identify as a non-heterosexual identity. Biological data were collected from a subset in the NCHAT Stress Biology study (NCHAT-BIO). The current analyses focus on data from 289 participants in NCHAT-BIO who identified as a non-heterosexual identity. Participants self-reported demographic, mental health, and LGBTQ+ identity items. Finger stick dried blood spot (DBS) sampling was self-administered by participants and assayed for C-reactive protein (CRP), interleukin-6 (IL-6), and antibodies against Epstein-Barr virus (EBV). Multivariable regression analyses were used to assess the relationship between each of the biomarkers and: 1) individual LGBTQ+ identity items and 2) latent profiles of LGBTQ+ identity items. Models were adjusted for demographic factors and other confounders. Among those assigned female at birth, a greater sense of pride in one's LGBTQ+ identity was associated with lower EBV antibody levels. Among those assigned male at birth, greater desire to keep one's identity private was associated with elevated CRP while those who would choose to be straight or wish they were heterosexual had elevated levels of IL-6. Meanwhile, being proud of one's LGBTQ+ identity predicted lower IL-6. These results provide novel evidence from a large sample that internalized stigma related to one's LGBTQ+ identity is associated with elevated inflammation and poorer cellular immune function while identity affirmation is associated with reduced inflammation. Future research should aim to develop and target both behavioral and biomedical interventions aimed at reducing health disparities among sexual minority populations.

Indexed as

Immunity, CellularInflammationSexual and Gender MinoritiesAdultC-Reactive ProteinFemaleHerpesvirus 4, HumanHumansInterleukin-6MaleMiddle AgedYoung AdultC-Reactive ProteinInterleukin-6EBV latencyIdentityImmune functionInflammationLGBTQ+Psychosocial stressSexual minority psychoneuroimmunology

Identifiers

PMID40010551
PMCPMC12802510

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.