Tobacco use among lesbian, gay, bisexual and transgender young adults varies by sexual and gender identity
Tobacco use among lesbian, gay, bisexual and transgender young adults varies by sexual and gender identity
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DOI：
10.1016/j.drugalcdep.2019.04.013
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发表时间：
2019-08-01
影响因子：
4.2
通讯作者：
Farrelly, Matthew
中科院分区：
文献类型：
--
作者：
Delahanty, Janine;Ganz, Ollie;Farrelly, Matthew
背景：研究表明，性少数群体（统称为女同性恋、男同性恋、双性恋和跨性别者 (LGBT)）使用烟草制品的比例过高。虽然该人群的使用情况因身份而异，但烟草使用模式的差异尚不清楚。本研究使用 FDA 烟草公众教育活动“This Free Life”的评估数据，根据出生时性别、性别和性认同，按亚组检查 LGBT 年轻人烟草使用的差异。方法：数据来自于 2016 年完成基线“This Free Life”评估调查的 4,057 名 18-24 名 LGBT 年轻人。多变量逻辑回归模型检查了烟草使用（香烟、雪茄、水烟和电子尼古丁产品）和多用途烟草使用的差异LGBT亚群体（顺性别男同性恋、顺性别双性恋男性、顺性别女同性恋/男同性恋女性、顺性别双性恋女性和性别少数群体）之间（任何产品2种以上、2种以上可燃物、至少一种可燃物和一种不可燃物）。结果：性少数女性比男同性恋者更有可能使用任何烟草制品、电子尼古丁产品和水烟。顺性别双性恋者比男同性恋者和性别少数群体更有可能使用电子尼古丁产品。与所有其他群体相比，顺性别双性恋男性吸烟的可能性较小。顺性别性少数女性比性别少数女性更有可能吸食多种烟草。结论：研究结果表明，性少数女性比其他亚群体更有可能使用烟草。更多研究可以帮助活动制定者更好地了解 LGBT 亚群体之间烟草使用存在差异的原因。
Background: Research shows that tobacco products are disproportionately used by sexual and gender minorities, known collectively as those who are lesbian, gay, bisexual, and transgender (LGBT). While usage varies within this population by identity, differences in tobacco use patterns are not well understood. The present study uses evaluation data for This Free Life, a tobacco public education campaign from the FDA, to examine differences in tobacco use among LGBT young adults by subgroups based on sex at birth, gender and sexual identity.Methods: Data are from 4,057 18-24 LGBT young adults who completed the baseline This Free Life evaluation survey in 2016. Multivariable logistic regression models examined differences in tobacco use (cigarettes, cigars, hookah and electronic nicotine products) and poly use (2+ of any product, 2+ combustibles, at least one combustible and one noncombustible) between LGBT subgroups (cisgender gay males, cisgender bisexual males, cisgender lesbian/gay females, cisgender bisexual females and gender minorities).Results: Sexual minority females were more likely than gay males to use any tobacco product, electronic nicotine products and hookah. Cisgender bisexuals were more likely than gay males and gender minorities to use electronic nicotine products. Cisgender bisexual males were less likely than all other groups to use cigarettes. Cisgender sexual minority females were more likely than gender minorities to engage in poly use.Conclusions: Findings suggest that sexual minority females are more likely to use tobacco than other subgroups. More research can help campaign developers better understand reasons for intragroup differences in tobacco use among LGBT subgroups.