Sexual and gender minority cigarette smoking disparities: An analysis of 2016 Behavioral Risk Factor Surveillance System data
Sexual and gender minority cigarette smoking disparities: An analysis of 2016 Behavioral Risk Factor Surveillance System data
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DOI：
10.1016/j.ypmed.2018.05.014
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发表时间：
2018-08-01
影响因子：
5.1
通讯作者：
Zhao, Xiaoquan
中科院分区：
文献类型：
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作者：
Hoffman, Leah;Delahanty, Janine;Zhao, Xiaoquan
我们研究了美国女同性恋、男同性恋、双性恋和变性人（LGBT）身份、香烟和电子烟使用以及潜在风险因素之间的关系。利用2016年行为风险因素监测系统（BRFSS）中来自26个州的198,057名成年人的数据，我们根据性别认同和性身份估计了香烟使用、电子烟使用的流行程度以及潜在的风险因素。总体和性别分层的双变量和多变量逻辑回归检验了在调整人口统计学、社会经济地位和其他不健康行为后，性和性别认同与香烟和电子烟使用之间的关系是否仍然存在。在调整协变量后，性别少数认同不再与当前吸烟和曾经使用电子烟的可能性增加有关。在调整协变量后，性少数认同仍然很重要，这表明香烟和电子烟使用中的性别认同差异并不能完全由这些因素解释。结果因身份而异。与异性恋同龄人相比，LGB个体使用烟草制品的可能性因性别、产品和性身份（男同性恋/女同性恋与双性恋）而异。需要更多的研究来了解影响性少数和性别少数成年人使用香烟和电子烟的各种模式的机制。
We examined the association between lesbian, gay, bisexual, and transgender (LGBT) identity, cigarette and e-cigarette use, and potential risk factors in the United States. Using data from 198,057 adults in 26 states in the 2016 Behavioral Risk Factor Surveillance System (BRFSS), we estimated the prevalence of cigarette use, e-cigarette use, and potential risk factors by gender identity and sexual identity. Overall and sex-stratified bivariate and multivariate logistic regressions examined whether the relationship between sexual and gender identity and cigarette and e-cigarette use persisted after adjusting for demographics, socio-economic status, and other unhealthy behaviors. After adjusting for covariates, gender minority identity was no longer associated with increased likelihood of currently smoking cigarettes and ever use of e-cigarettes. Sexual minority identity continued to be significant after adjusting for covariates, indicating that sexual identity disparities in cigarette and e-cigarette use are not fully explained by these factors. Findings varied by identity. Compared to their straight peers, likelihood of tobacco product use among LGB individuals varied between sexes, by product, and by sexual identity (gay/lesbian versus bisexual). More research is needed to understand the mechanisms that influence diverse patterns of cigarette and e-cigarette use among sexual and gender minority adults.