E-Cigarette Use among Sexual Minoritized Women and Nonbinary People Assigned Female at Birth: Assessing the Roles of Discrimination, Perceived Stress, and Social Support.
E-Cigarette Use among Sexual Minoritized Women and Nonbinary People Assigned Female at Birth: Assessing the Roles of Discrimination, Perceived Stress, and Social Support.
复制标题
性少数女性和出生时被指定为女性的非二元性别人群的电子烟使用：评估歧视、感知压力和社会支持的作用。
DOI：
10.1080/10826084.2023.2212056
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发表时间：
2023
影响因子：
2
通讯作者：
Keller-Hamilton,Brittney
中科院分区：
文献类型：
--
作者：
Wedel,AmeliaV;Patterson,JoanneG;Lee,DongheeN;Stevens,EliseM;Wagener,TheodoreL;Keller-Hamilton,Brittney
背景年轻的成年性小型化妇女(SMW)使用电子烟的风险不成比例，这可能部分是由于歧视暴露造成的过度少数人压力。虽然歧视暴露与SMW中使用可燃烟草/尼古丁的风险有关，但类似的关联尚未用电子烟进行测试。此外，尚不清楚社会支持等保护性因素能否减轻与歧视有关的风险。这项研究考察了歧视、感受到的压力和社会支持与过去30天使用电子烟的相关性。方法N= 501SMW和出生时指定为女性且年龄在18-30岁的非二元人群完成在线调查。一系列Logistic回归分析了在新冠肺炎大流行期间获得的歧视、感知压力和四种形式的社会支持与过去30天电子烟使用的关系。结果在SMW中，更大的感知压力(OR=1.1，p=0.03)与电子烟的使用有关，但与歧视暴露无关。当考虑到大多数形式的社会支持(情感、物质/经济和虚拟)时，歧视与电子烟使用的关联并不显著。在需要但没有得到物质支持的人群中，感受到的压力与电子烟使用的关联性最强。结论在新冠肺炎疫情期间，感受到的压力而不是歧视暴露与年轻SMW使用电子烟的风险相关。非特定压力的影响可能因物质/财政支持不足而变得更加复杂。
BackgroundYoung adult sexual minoritized women (SMW) are at disproportionate risk for e-cigarette use, which may in part be due to excess minority stress imposed by discrimination exposure. While discrimination exposure is associated with risk for combustible tobacco/nicotine use among SMW, similar associations have yet to be tested with e-cigarettes. Moreover, it is unknown if discrimination-related risk may be mitigated by protective factors such as social support. This study examined concurrent associations of discrimination, perceived stress, and social support with past 30-day e-cigarette use in a sample of young adult SMW during the COVID-19 pandemic.MethodsN= 501 SMW and nonbinary people assigned female at birth (AFAB) aged 18–30 completed an online survey. A series of logistic regressions examined associations of discrimination, perceived stress, and four forms of social support received during the COVID-19 pandemic with past-30-day e-cigarette use.ResultsAmong SMW, greater perceived stress (OR = 1.10,p= .03), but not discrimination exposure, was associated with e-cigarette use. Associations of discrimination with e-cigarette use were nonsignificant when most forms of social support (emotional, material/financial, and virtual) were accounted for. Associations of perceived stress with e-cigarette use were strongest among those who needed but did not receive material support.ConclusionsPerceived stress, but not discrimination exposure, was associated with risk for e-cigarette use among young SMW during the COVID-19 pandemic. Effects of nonspecific stress may be compounded by insufficient material/financial support.