Tobacco product use and susceptibility to use among sexual minority and heterosexual adolescents.

Tobacco product use and susceptibility to use among sexual minority and heterosexual adolescents.
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DOI:
10.1016/j.ypmed.2020.106384
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发表时间:
2021-04
影响因子:
5.1
通讯作者:
Prochaska JJ
Prochaska JJ
中科院分区:
医学2区
文献类型:
--
作者:
Garcia LC;Vogel EA;Prochaska JJ

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性别认同与成人吸烟有关。我们检查了青少年的烟草使用情况和按性别认同使用烟草的易感性。数据于 2019 年 2 月通过 Qualtrics 研究参与者小组收集。数据分析于 2019 年 6 月进行,并于 2020 年 10 月更新。13-17 岁的受访者报告了性别认同(异性恋与性少数群体[女同性恋、男同性恋、双性恋或其他])、过去一个月和一生的烟草产品使用情况、对电子烟使用的敏感性、朋友的电子烟使用情况、烟草营销接触情况和人口特征。样本 (n=983) 中 72.9% 为女性,46.5% 为非西班牙裔白人,26.1% 为性少数群体,平均年龄为 15.0 岁 (SD=1.4)。性少数青少年更有可能拥有吸电子烟的朋友(53.0% 对比 42.0%;p=0.003)。在调整后的模型中,相对于异性恋青少年,性少数青少年曾经吸烟(比值比 [OR]=2.06;95% 置信区间 [CI]:1.42-2.98)或使用电子烟(OR=1.55;95% CI:1.08-2.25)的几率更大。过去一个月的吸烟和电子烟使用情况并没有因性别认同而存在差异。在从未使用过烟草产品的参与者中,与异性恋青少年相比,性少数青少年对电子烟使用的敏感性更高(OR=1.62;95% CI:1.04-2.52)。接触香烟和电子烟营销、朋友使用电子烟以及受访者性别是所有模型中的显着协变量。目前的研究结果表明,性少数青少年更容易使用电子烟,并且开始使用烟草产品,但不继续使用。可能有必要采取针对性少数群体的干预措施来防止人们开始使用烟草制品。值得探讨的是性别认同、烟草营销曝光和朋友使用电子烟之间的关联。
Sexual identity is associated with tobacco use in adults. We examined tobacco use and susceptibility to use by sexual identity in adolescents. Data were collected in February 2019 via Qualtrics research participant panels. Data analyses were performed in June 2019 and updated in October 2020. Respondents aged 13-17 reported sexual identity (heterosexual vs. sexual minority [lesbian, gay, bisexual, or other]), past-month and lifetime tobacco product use, susceptibility to e-cigarette use, friend(s)’ e-cigarette use, tobacco marketing exposure, and demographic characteristics. The sample (n=983) was 72.9% female, 46.5% non-Hispanic white, and 26.1% sexual minority with mean age of 15.0 years (SD=1.4). Sexual minority adolescents were more likely to have friend(s) who vape (53.0% versus 42.0%; p=0.003). In adjusted models, sexual minority adolescents had greater odds of ever smoking tobacco (odds ratio [OR]=2.06; 95% confidence interval [CI]: 1.42-2.98) or using e-cigarettes (OR=1.55; 95% CI: 1.08-2.25) relative to heterosexual adolescents. Past-month tobacco smoking and e-cigarette use did not differ by sexual identity. Among participants who had never used tobacco products, sexual minority adolescents reported greater susceptibility to e-cigarette use (OR=1.62; 95% CI: 1.04-2.52) compared to heterosexual adolescents. Exposure to cigarette and e-cigarette marketing, e-cigarette use by friends, and respondent sex were significant covariates in all models. The current findings indicate greater susceptibility to use e-cigarettes and greater tobacco product initiation, but not continuation, among sexual minority adolescents. Sexual minority-tailored interventions may be warranted to prevent tobacco product initiation. Worth exploring are the associations between sexual identity, tobacco marketing exposure, and friend(s)’ e-cigarette use.
DOI: 10.1093/ntr/ntu191
发表时间: 2015-02
期刊: Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
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