Use of Cigarettes and E-Cigarettes/Vaping Among Transgender People: Results From the 2015 U.S. Transgender Survey.
Use of Cigarettes and E-Cigarettes/Vaping Among Transgender People: Results From the 2015 U.S. Transgender Survey.
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DOI：
10.1016/j.amepre.2020.03.027
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发表时间：
2020-10
影响因子：
5.5
通讯作者：
McCabe SE
中科院分区：
文献类型：
--
作者：
Kcomt L;Evans-Polce RJ;Veliz PT;Boyd CJ;McCabe SE
本研究调查了跨性别者大样本中的人口特征、跨性别特定因素以及与当前吸烟、电子烟使用/电子烟和双重使用相关的歧视经历。这是对 2015 年美国跨性别者调查 (N=27,715) 的二次分析。 2019 年进行的逻辑回归模型用于估计跨性别者当前吸烟、电子烟使用/电子烟和双重使用的 AOR 和 95% CI。总体而言，23.6% 的受访者使用过香烟，9.3% 使用过电子烟/电子烟产品，5.2% 的受访者表示在过去 30 天内双重使用。与视觉上符合的个体相比，视觉上不符合的个体的几率更大（香烟：AOR=1.49，95%CI=1.35，1.65；电子烟/电子烟：AOR=1.43，95%CI=1.25，1.65；双重使用：AOR=1.81，95%CI=1.52，2.15）。与个人相比，向社交网络公开其跨性别身份的跨性别者吸烟（AOR=1.30，95% CI=1.17, 1.45）、使用电子烟/电子烟（AOR=1.30，95% CI=1.12, 1.52）和双重使用（AOR=1.95，95% CI=1.61, 2.35）的几率更高他们对任何人或网络内的某些人都“出柜”。遭受歧视（即不平等待遇、言语骚扰或身体攻击）会显着增加吸烟、使用电子烟/电子烟和双重用途的几率。经历过所有三种类型歧视的跨性别者当前吸烟（AOR=2.06，95% CI=1.79，2.37）和双重使用（AOR=2.17，95% CI=1.73，2.74）的几率是没有经历过歧视的人的两倍。歧视、视觉上的不合规性以及作为跨性别者被“排除在外”增加了吸烟、使用电子烟/电子烟和双重用途的几率。这项研究为跨性别人群的疾病预防工作提供了信息，这些人群的健康行为风险增加。
This study examines the demographic characteristics, transgender-specific factors, and discrimination experiences associated with current cigarette smoking, e-cigarette use/vaping, and dual use in a large sample of transgender people. This was a secondary analysis of the 2015 U.S. Transgender Survey (N=27,715). Conducted in 2019, logistic regression models were used to estimate the AORs and 95% CIs of current smoking, e-cigarette use/vaping, and dual use among transgender people. Overall, 23.6% of respondents used cigarettes, 9.3% used e-cigarettes/vaping products, and 5.2% reported dual use within the past 30 days. Visually non-conforming individuals had greater odds (cigarettes: AOR=1.49, 95% CI=1.35, 1.65; e-cigarettes/vaping: AOR=1.43, 95% CI=1.25, 1.65; dual use: AOR=1.81, 95% CI=1.52, 2.15) compared with visually conforming individuals. Transgender people who had disclosed their transgender identity to their social networks had greater odds of cigarette smoking (AOR=1.30, 95% CI=1.17, 1.45), e-cigarette use/vaping (AOR=1.30, 95% CI=1.12, 1.52), and dual use (AOR=1.95, 95% CI=1.61, 2.35) compared with individuals who were “out” to none or some people within their networks. Experiencing discrimination (i.e., unequal treatment, verbal harassment, or physical assault) significantly increased the odds for cigarette smoking, e-cigarette use/vaping, and dual use. Transgender people who experienced all three types of discrimination had two times greater odds of current cigarette smoking (AOR=2.06, 95% CI=1.79, 2.37) and dual use (AOR=2.17, 95% CI=1.73, 2.74) than those who had not experienced discrimination. Discrimination, visual non-conformity, and being “out” as transgender increased the odds of cigarette smoking, e-cigarette use/vaping, and dual use. This study informs disease prevention efforts for transgender populations with increased risks for these health behaviors.
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