Male Gender Expressivity and Diagnosis and Treatment of Cardiovascular Disease Risks in Men

JAMA Netw OpenPublished Population-based cohort study

Authors' conclusion

In this cohort study of US males, higher adolescent and younger adult MGE was associated with lower adult hypertension and diabetes diagnoses and treatment. These findings suggest that males with high MGE may bear distinctive risks and correspondingly benefit from tailored public health efforts to prevent downstream CVD.

Study context

Population
Male adolescents (age 12–18 years) in US Add Health, followed through younger adulthood (24–32 years) and adulthood (32–42 years); 64% non-Hispanic White, 80% privately insured
Participants
4,230 eligible males
Exposure
Higher vs lower male gender expressivity (MGE) in adolescence and younger adulthood
Outcome
Self-reported diagnoses of CVD risk conditions (hypertension, diabetes, hyperlipidemia) and self-reported treatment with antihypertensive, hypoglycemic or lipid-lowering medications
Follow-up
Adulthood (age 32-42 years)
Methodological detailslongitudinal, multivariable regression adjusted for sociodemographic covariates, Data from Add Health waves I (1994-1995), IV (2008-2009), V (2016-2018); analyzed January 5, 2023, to August 28, 2024
  • Longitudinal
  • Multivariable regression adjusted for sociodemographic covariates
  • Data from Add Health waves I (1994-1995), IV (2008-2009), V (2016-2018); analyzed January 5, 2023, to August 28, 2024

Main finding

As reported in the abstract

adulthood
Higher younger adult MGE
hypertension diagnosis 22% vs 26%; P < 0.001
Higher younger adult MGE
diabetes diagnosis 5% vs 8%; P < 0.001
Higher younger adult MGE
hyperlipidemia diagnosis 19% vs 24%; P < 0.001
Higher younger adult MGE
diabetes treatment 3% vs 5%; P = 0.02
Per SD adolescent MGE: adult hypertension treatment
−0.11 (95% CI, −0.16 to −0.6)
Per SD adolescent MGE: adult diabetes diagnoses
−0.15 (95% CI, −0.27 to −0.03)
Younger adult MGE: adult hypertension diagnoses
−0.04 (95% CI, −0.07 to −0.01)
Younger adult MGE: adult hypertension treatment
−0.07 (95% CI, −0.13 to −0.01)
Younger adult MGE: adult diabetes treatment
−0.10 (95% CI, −0.20 to −0.01)

Observational data: associations, not effects.

Original publication

Male Gender Expressivity and Diagnosis and Treatment of Cardiovascular Disease Risks in Men. JAMA Netw Open. Published 1 October 2024. doi:10.1001/jamanetworkopen.2024.41281

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