Nicotine/tobacco use disparities among transgender and gender diverse adults: Findings from wave 4 PATH data.
Nicotine/tobacco use disparities among transgender and gender diverse adults: Findings from wave 4 PATH data.
复制标题
DOI：
10.1016/j.drugalcdep.2022.109268
复制
发表时间：
2022-03-01
影响因子：
4.2
通讯作者：
Breland AB
中科院分区：
文献类型：
--
作者：
Sawyer AN;Bono RS;Kaplan B;Breland AB
跨性别和性别多样性（TGD）人群目前的香烟/电子烟/雪茄使用率为32.6%-39.7%。重要的是，虽然一些研究报告在多变量分析中TGD个体的烟草使用率显著高于顺性别个体，但其他研究报告没有显著差异。本研究使用了烟草与健康人口评估（PATH）研究的第4波数据，这是一项大型的、具有全国代表性的美国研究，旨在研究社会人口特征、内部和外部因素与烟草使用行为之间的关系，重点是TGD个体。数据来自PATH研究第4波的33，628名成年人（收集于2016年12月至2018年1月）。多变量logistic回归模型通过使用PATH数据复制以前的工作，以及评估其他内部和外部因素的作用，检查了TGD和cisgender个体之间当前烟草使用（香烟，电子尼古丁产品和雪茄）的差异。TGD个体报告当前尼古丁/烟草使用的可能性是顺性别个体的2-3倍，即使在调整潜在混杂因素后也是如此。TGD个体往往有较低的收入和教育，更有可能赞同性少数的身份比他们的cisgender同行;同时，低收入，教育程度低，女同性恋/男同性恋和双性恋的身份是尼古丁/烟草使用的显着预测因子，独立于TGD身份。目前的研究结果强调了高尼古丁/烟草的使用率在TGNC社区，并强调TGD为重点的研究方法和措施，获得优质的医疗服务，旨在尽量减少边缘化和尼古丁/烟草使用的差异TGD社区的政策的必要性。
Transgender and Gender Diverse (TGD) populations have current cigarette/e-cigarette/cigar use rates ranging from 32.6–39.7%. Importantly, while some studies have reported tobacco use as significantly higher among TGD versus cisgender individuals in multivariate analyses, others have reported no significant differences. The present study used data from wave 4 of the Population Assessment of Tobacco and Health (PATH) study, a large, nationally representative U.S. study, to examine relationships among sociodemographic characteristics, internal and external factors, and tobacco use behaviors, with a focus on TGD individuals. Data were from 33,628 adults from the PATH study’s wave 4 (collected December 2016–January 2018). Multivariable logistic regression models examined differences in current tobacco use (cigarettes, electronic nicotine products, and cigars) between TGD and cisgender individuals through the replication of previous work using PATH data, as well as evaluating the role of other internal and external factors. TGD individuals were 2–3 times more likely than cisgender individuals to report current nicotine/tobacco use, even after adjustment for potential confounders. TGD individuals tended to have lower income and education and be more likely to endorse a sexual minority identity than their cisgender counterparts; meanwhile, lower income, less education, and lesbian/gay and bisexual identities were significant predictors of nicotine/tobacco use, independent of TGD identity. Present findings underscore the high rates of nicotine/tobacco use in the TGNC community and emphasize the necessity of TGD-focused research methods and measures, access to quality medical care, and policy aimed at minimizing marginalization and nicotine/tobacco use disparities experienced by TGD communities.
登录
查看更多内容
影响因子：
4.8
作者：
Matthews, Alicia K.;Cesario, John;King, Andrea
通讯作者：
King, Andrea
影响因子：
5.5
作者：
Kcomt L;Evans-Polce RJ;Veliz PT;Boyd CJ;McCabe SE
通讯作者：
McCabe SE
影响因子：
5.2
作者：
Hyland, Andrew;Ambrose, Bridget K.;Compton, Wilson M.
通讯作者：
Compton, Wilson M.
影响因子：
12.7
作者：
Mays, VM;Cochran, SD
通讯作者：
Cochran, SD
影响因子：
4.2
作者：
Delahanty, Janine;Ganz, Ollie;Farrelly, Matthew
通讯作者：
Farrelly, Matthew