E-cigarette, cigarette, and cannabis use patterns as a function of sexual identity in a sample of Southern California young adults.
E-cigarette, cigarette, and cannabis use patterns as a function of sexual identity in a sample of Southern California young adults.
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DOI：
10.1016/j.abrep.2021.100338
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发表时间：
2021-06
影响因子：
--
通讯作者：
Pang RD
中科院分区：
文献类型：
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作者：
Liautaud MM;Barrington-Trimis JL;Liu F;Stokes A;Krueger EA;McConnell R;Pang RD
电子烟是一生中最常用的产品。双性恋(与异性恋、女同性恋者/男同性恋者相比)吸烟、电子烟和大麻的使用几率更高。双性恋(与异性恋)女性终生吸烟的几率更高。性少数群体年轻人报告说，吸烟和大麻的使用量更大。新出现的证据表明，这一趋势可能会延伸到电子烟。目前的研究评估了性别认同与电子烟、香烟和大麻使用流行率之间的关系，以及这些联系是否因性别而不同。分析了2019年南加州儿童健康研究第三波(2016)中具有地区代表性的年轻人的横断面数据(男[SD]年龄=120.02[0.60]岁；非异性恋者=11314；n双性恋者=677；女同性恋者/男同性恋者=228)。Logistic回归分析以性别认同为预测因素，以产品使用(从未、以前、不频繁超过30天[1-2天]、频繁超过30天[3-5+天])为结果，按物质(电子烟、香烟、大麻)分类。双性恋者是几乎所有结果的最高风险亚群，与异性恋者相比，报告在过去30天内频繁使用电子烟(优势比[OR]：6.68；95%可信区间[CI]：2.80，15.9)、香烟(优势比：5.42；95%可信区间：2.37，12.4)和大麻(优势比：8.43；95%可信区间：4.40，16.1)的几率是异性恋者的五倍以上。尽管女同性恋者/男同性恋者的样本量很小，但双性恋者(与女同性恋者/男同性恋者相比)也有更大的几率报告以前使用过尼古丁产品，并在过去30天内频繁使用大麻。在终生吸烟中，出现了显著的性别认同×性别互动，其中双性恋(与异性恋)认同只与女性使用香烟的几率更大有关(P<；2.01)。在年轻人中，与性少数有关的物质使用差异似乎普遍适用于电子烟，其中双性恋的年轻人表现出特别高的风险。
E-cigarettes were the most commonly used product across the lifetime. Bisexual (vs. straight, lesbian/gay) individuals had higher odds of cigarette, e-cigarette, and cannabis use. Bisexual (vs. straight) females had higher odds of lifetime cigarette use. Sexual minority young adults report greater cigarette and cannabis use. Emerging evidence suggests this trend may extend to e-cigarettes. The current study evaluated the relationship between sexual identity and prevalence of e-cigarette, cigarette, and cannabis use and whether such associations differ by gender. Cross-sectional, regionally representative data of young adults (M[SD]age = 20.02 [0.60] years; nheterosexual = 1314; nbisexual = 77; nlesbian/gay = 28) from Wave III (2016) of the Southern California Children’s Health Study were analyzed in 2019. Logistic regression analyses were conducted with sexual identity as the predictor and product use (never, prior, infrequent past 30-day [1-2 days], frequent past 30-day [3-5+ days]) as the outcome in separate models by substance (e-cigarettes, cigarettes, cannabis). Bisexual individuals were the highest-risk sub-group for nearly all outcomes, with over five times the odds of reporting frequent past 30-day use for e-cigarettes (Odds Ratio [OR]: 6.68; 95% Confidence Interval [CI]: 2.80, 15.9), cigarettes (OR: 5.42; 95% CI: 2.37, 12.4), and cannabis (OR: 8.43; 95% CI: 4.40, 16.1) compared to heterosexual individuals. Although the sample size for lesbian/gay participants was small, bisexual (vs. lesbian/gay) participants also had greater odds of reporting prior use of nicotine products and frequent past 30-day cannabis use. A significant sexual identity × gender interaction emerged for lifetime cigarette use, wherein bisexual (vs. heterosexual) identity was only associated with greater odds of use for females (p < .01). Sexual minority-related disparities in substance use among young adults appear to generalize to e-cigarettes, with bisexual young adults exhibiting especially high profiles of risk.