Associations of race and ethnicity with tobacco messaging exposures and tobacco use among bisexual and pansexual women.
Associations of race and ethnicity with tobacco messaging exposures and tobacco use among bisexual and pansexual women.
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种族和种族与双性恋妇女中的烟草消息传播和烟草使用的关联。
DOI：
10.1016/j.pmedr.2021.101657
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发表时间：
2022-03
影响因子：
2.8
通讯作者：
Patterson JG
中科院分区：
文献类型：
--
作者：
Keller-Hamilton B;Stevens EM;Wedel AV;LaPolt DT;Miranda A;Wagener TL;Patterson JG
在女同性恋和双性恋群体中，双性恋妇女的烟草使用率最高，黑人和拉丁裔妇女比异性恋同龄人更有可能使用烟草。关于双性恋妇女吸烟的研究仅限于描述这一人群的流行情况。我们评估了双性恋和泛性恋女性的种族/民族、接触支持和反对烟草的信息以及烟草使用结果之间的关联。我们使用在线调查平台Prolific在美国招募了N = 382名双性恋和泛性恋女性样本。参与者报告了社会人口统计学，接触支持和反对烟草的信息，收到优惠券，以及曾经和现在使用香烟，电子烟和其他烟草产品。我们模拟了种族/民族、支持和反对烟草的信息暴露以及烟草使用结果之间的关联。未经调整的结果表明，不同种族/民族的烟草使用流行率存在差异，白色妇女使用每种产品的流行率最高，但黑人妇女目前吸烟和任何烟草使用的流行率最高。种族和烟草使用之间的关联在调整分析中减弱。收到优惠券与当前使用香烟（aOR = 8.02; 95%CI [3.55，18.1]）、电子烟（aOR = 7.26; 95%CI [3.55，14.9]）和任何烟草（aOR = 5.04; 95%CI [2.44，10.4]）密切相关。总之，在控制了支持和反对烟草的信息暴露后，不同种族/民族之间烟草使用流行率的未调整差异有所减弱。在双性恋和泛性恋女性中，接受烟草优惠券始终与当前的烟草使用相关。对优惠券的限制可以促进卫生公平。
Within the lesbian and bisexual community, bisexual women have the highest prevalence of tobacco use, and Black and Latina women are much more likely to use tobacco than their heterosexual peers. Research on tobacco use among bisexual women is limited to descriptions of prevalence in this population. We evaluated associations between race/ethnicity, exposure to pro- and anti-tobacco messages, and tobacco use outcomes among bisexual and pansexual women. We recruited a sample of N = 382 bisexual and pansexual women in the United States using the online survey platform, Prolific. Participants reported sociodemographics, exposure to pro- and anti-tobacco messaging, receipt of coupons, and ever and current use of cigarettes, e-cigarettes, and other tobacco products. We modeled associations between race/ethnicity, pro- and anti-tobacco messaging exposures, and tobacco use outcomes. Unadjusted results indicated differences in prevalence of tobacco use by race/ethnicity, with White women having the highest prevalence of ever using each product, but Black women having the highest prevalence of current cigar smoking and any tobacco use. Associations between race and tobacco use were attenuated in adjusted analyses. Receiving coupons was strongly associated with current use of cigarettes (aOR = 8.02; 95% CI [3.55, 18.1]), e-cigarettes (aOR = 7.26; 95% CI [3.55, 14.9]), and any tobacco (aOR = 5.04; 95% CI [2.44, 10.4]). In conclusion, unadjusted differences in prevalence of tobacco use across race/ethnic groups were attenuated after controlling for pro- and anti-tobacco messaging exposures. Receiving tobacco coupons was consistently associated with current tobacco use among bisexual and pansexual women. Restrictions on coupons could promote health equity.
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