Correlates of smoking during COVID-19 in the LGBTQI + cancer survivor population.

Correlates of smoking during COVID-19 in the LGBTQI + cancer survivor population.
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DOI:
10.1007/s11764-023-01375-4
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发表时间:
2024-08
影响因子:
3.7
通讯作者:
Ahluwalia, Jasjit S.
Ahluwalia, Jasjit S.
中科院分区:
医学2区
文献类型:
--
作者:
Maglalang, Dale Dagar;Lyerly, Reece;Scout, N. F. N.;Avila, Jaqueline C.;Ahluwalia, Jasjit S.

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大流行带来的压力可能进一步鼓励女同性恋者、男同性恋者、双性恋者、变性人、同性恋者和双性人加(LGBTQI +)癌症幸存者吸烟。这项研究的目的是在LGBTQI + 癌症大流行期间检查与吸烟相关的因素。我们使用了OUT的二次数据分析:国家癌症调查。我们进行了Logistic回归分析,以检验心理困扰、酗酒和社会人口因素与曾经和现在使用香烟、其他烟草和尼古丁产品之间的关系。在我们样本中的1629名参与者中,53%的人在他们的一生中使用过,13%的人报告目前使用过。增加使用的相关因素包括年龄较大(AOR = 1.0 2;95%CI:1.0 1,1.0 3)和酗酒(AOR = 2.47;95%CI:1.17,5.2 0),而减少使用的相关因素是研究生或专业学历(AOR = 0.40;95%CI:0.2 3,0.71)。当前使用量增加的相关因素包括拉丁裔(AOR = 1.89;95%CI:1.07,3.36),酗酒(AOR = 3.18;95%CI:1.56,6.48),没有医疗保险(AOR = 2.37;95%CI:1.10,5.10),以及残疾(AOR = 1.64;95%CI:1.19,2.26),而减少当前使用量的相关因素是顺性女性(AOR = 0.30;年龄较小(AOR = 为0.98;95%CI为0.96、0.99),具有研究生或专业学历(AOR = 为0.33;95%CI为0.15、0.70)。我们的发现表明,尽管吸烟的风险增加,但仍有一部分LGBTQI + 癌症幸存者在大流行期间继续吸烟。此外,具有交叉边缘化身份的个人承受着额外的压力,这种压力可能因大流行的条件而进一步加剧,这些条件鼓励他们吸烟。在癌症确诊后戒烟可以减少复发和新的原发恶性肿瘤的机会。此外,从业者和研究人员应该倡导检查和解决LGBTQI + 癌症幸存者在大流行期间所在机构的系统性压迫形式。网上版载有补充材料,可在10.1007/s11764023-01375-4查阅。
Stressors brought on by the pandemic may have further encouraged lesbian, gay, bisexual, transgender, queer, and intersex plus (LGBTQI +) cancer survivors to smoke. The purpose of this study is to examine factors associated with smoking among LGBTQI + cancer survivors during the pandemic. We used a secondary data analysis of OUT: The National Cancer Survey. We conducted logistic regression analysis to examine the associations between psychological distress, binge drinking, and socio-demographic factors with ever use and current use of cigarettes, other tobacco, and nicotine products. Of the 1629 participants in our sample, 53% used in their lifetime and 13% reported current use. Correlates of increased ever use included being of older age (AOR = 1.02; 95% CI: 1.01, 1.03) and binge drinking (AOR = 2.47; 95% CI: 1.17, 5.20) while correlates of decreased ever use were among those with a graduate or professional degree (AOR = 0.40; 95% CI: 0.23, 0.71). Correlates of increased current use included being of Latine descent (AOR = 1.89; 95% CI: 1.07, 3.36), binge drinking (AOR = 3.18; 95% CI: 1.56, 6.48), without health insurance (AOR = 2.37; 95% CI: 1.10, 5.10), and being disabled (AOR = 1.64; 95% CI: 1.19, 2.26) while correlates of decreased current use were among cisgender women (AOR = 0.30; 95% CI: 0.12, 0.77), being of younger age (AOR = 0.98; 95% CI: 0.96, 0.99), and having a graduate or professional degree (AOR = 0.33; 95% CI: 0.15, 0.70). Our findings demonstrate that a proportion of LGBTQI + cancer survivors continue to smoke during the pandemic despite the increased risk involved with smoking. Furthermore, individuals with intersecting marginalized identities experience additional stressors that may have been further exacerbated by the conditions of the pandemic that encourage them to smoke. Quitting smoking after a cancer diagnosis can decrease the chances of recurrence and a new primary malignancy. In addition, practitioners and researchers should advocate towards examining and addressing systemic forms of oppression in institutions that LGBTQI + cancer survivors navigate during the pandemic. The online version contains supplementary material available at 10.1007/s11764-023-01375-4.
DOI: 10.1007/s11764-015-0446-y
发表时间: 2016-02
期刊: Journal of cancer survivorship : research and practice
影响因子: --
作者:
Burcu M;Steinberger EK;Sorkin JD
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影响因子: 39.2
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期刊: LGBT HEALTH
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期刊: Zeitschrift fur Gesundheitswissenschaften = Journal of public health
影响因子: --
作者:
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通讯作者: Fujimoto K
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