Correlates of Tobacco and Nicotine Use Among Transgender and Gender Diverse People: A Systematic Review Guided by the Minority Stress Model.
Correlates of Tobacco and Nicotine Use Among Transgender and Gender Diverse People: A Systematic Review Guided by the Minority Stress Model.
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跨性别者和性别多元化人群中烟草和尼古丁使用的相关性：以少数群体压力模型为指导的系统评价。
DOI：
10.1093/ntr/ntab159
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Cropsey,Karen
中科院分区：
文献类型：
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作者：
Wolford-Clevenger,Caitlin;Hill,SamanthaV;Cropsey,Karen
与顺性同龄人相比，变性人和性别多样性（TGD）人群的烟草和尼古丁使用率更高。目的和方法以少数群体应激模型为指导，对TGD人群中烟草和尼古丁使用的相关因素进行了系统回顾。我们回顾了1995年4月1日至2021年4月20日期间来自Pubmed、PsycINFO和CINAHL的文献。文章纳入标准如下：用英文撰写，报告经验数据，对跨性别/性别多样化人群进行独家抽样或单独结果报告，并报告广泛定义的烟草或尼古丁使用的相关性。第一和第二作者回顾了从检索和灰色文献（相关的listserv征集）中检索到的文章，以便纳入。然后，他们审查任何纳入文章的参考文献，以寻找其他候选文章。结果：共纳入35篇文章，以定性方式合成。文章的整体质量是公平的，文章的质量从差到一般，主要使用横断面设计和调查方法。结论总体而言，文献表明外部少数民族压力源在TGD人群中与烟草和尼古丁使用相关的研究（和支持）最多。迫切需要进行高质量的研究，如纵向或实验设计，以提高我们对这一人群中烟草和尼古丁使用的理解和预防。本系统综述使用少数民族压力模型作为指导，以了解跨性别和性别多样化人群中烟草和尼古丁使用的相关性。相当质量的文献表明，在少数群体压力模型框架内，外部少数群体压力源是研究最多和支持最多的烟草和尼古丁使用相关因素。这篇综述表明，迫切需要更高质量的研究，如纵向或实验设计，以提高我们对这一人群中烟草和尼古丁使用的理解和预防。从有限的文献中得到的初步发现强调了可能与这一人群相关的因素，包括一般/环境压力因素和外部少数群体压力因素，如歧视。
Introductionransgender and gender diverse (TGD) people have a higher prevalence of tobacco and nicotine use compared to their cisgender peers.Aims and MethodsUsing the minority stress model as a guide, we conducted a systematic review of correlates of tobacco and nicotine use among TGD people. We reviewed the literature from Pubmed, PsycINFO, and CINAHL between April 1, 1995 and April 20, 2021. Article inclusion criteria were the following: written in English, reported empirical data, sampled exclusively or reported separate outcomes for transgender/gender diverse people, and reported correlates of tobacco or nicotine use, broadly defined. The first and second authors reviewed the articles retrieved from the search and from gray literature (relevant listserv solicitations) for inclusion. They then reviewed references of any included articles for additional candidate articles.Results: This resulted in 35 articles for review, which were synthesized in a qualitative fashion. The overall quality of the articles was fair, with the articles ranging from poor to fair quality and using primarily cross-sectional design and survey methods.ConclusionsOverall, the literature demonstrated external minority stressors were mostly researched (and supported) correlates of tobacco and nicotine use among TGD people. There is a critical need for higher quality research, such as longitudinal or experimental designs, to improve our understanding and prevention of tobacco and nicotine use in this population.ImplicationsThis systematic review used the minority stress model as a guide to understand correlates of tobacco and nicotine use among transgender and gender diverse people. Literature of fair quality demonstrated that external minority stressors were the most researched and supported correlates of tobacco and nicotine use within the framework of the minority stress model. This review demonstrated a critical need for higher quality research, such as longitudinal or experimental designs, to improve our understanding and prevention of tobacco and nicotine use in this population. Preliminary findings from the limited literature highlight factors that may be relevant to target with this population, including general/environmental stressors and external minority stressors such as discrimination.