Tobacco Product Use Among Sexual Minority Adults: Findings From the 2012-2013 National Adult Tobacco Survey.
Tobacco Product Use Among Sexual Minority Adults: Findings From the 2012-2013 National Adult Tobacco Survey.
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DOI：
10.1016/j.amepre.2015.07.041
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发表时间：
2016-04
影响因子：
5.5
通讯作者：
Zhao X
中科院分区：
文献类型：
--
作者：
Johnson SE;Holder-Hayes E;Tessman GK;King BA;Alexander T;Zhao X
越来越多的证据表明，性少数群体的吸烟率高于非少数群体（“异性恋”）人群。本研究旨在通过调查不同性别认同和性别的烟草使用情况，更全面地描述这一差异，以更好地了解：(1)吸烟和吸烟史；(2)其他烟草制品的使用，包括雪茄、烟斗、水烟、电子烟和无烟烟草。2014年分析了2012-2013年全国成人烟草调查的数据，该调查是一项针对年龄≥18岁的美国成年人的随机数字拨号固定电话和移动电话调查。通过将男同性恋、女同性恋和双性恋的回答与那些选择其他非异性恋身份的人结合起来，创建了一个性少数类别。性少数成年人的吸烟率（27.4%）高于异性恋成年人（17.3%）。双性恋女性的吸烟率特别高（36.0%）。性少数女性开始吸烟，并比异性恋同龄人更早地过渡到每天吸烟。性少数女性使用其他烟草产品的比例更高：电子烟（12.4%）、水烟（10.3%）和雪茄（7.2%）的使用率是异性恋女性的三倍多（分别为3.4%、2.5%和1.3%）。同样，性少数男性使用电子烟（7.9%）和水烟（12.8%）的比例高于直男（分别为4.7%和4.5%）。性少数群体的烟草使用明显高于异性恋成年人，尤其是性少数群体的女性。这些发现强调了针对性少数群体的烟草控制工作的重要性，并强调了这一人群中烟草使用的异质性。
A growing body of evidence reveals higher rates of tobacco use among sexual minority populations relative to non-minority (“straight”) populations. This study seeks to more fully characterize this disparity by examining tobacco use by distinct sexual identities and gender to better understand patterns of: (1) cigarette smoking and smoking history; and (2) use of other tobacco products including cigars, pipes, hookah, e-cigarettes, and smokeless tobacco. Data from the 2012–2013 National Adult Tobacco Survey, a random-digit dialed landline and cellular telephone survey of U.S. adults aged ≥18 years, were analyzed in 2014. A sexual minority category was created by combining gay, lesbian, and bisexual responses, along with those who selected an option for other non-heterosexual identities. Smoking prevalence was higher among sexual minority adults (27.4%) than straight adults (17.3%). Cigarette smoking was particularly high among bisexual women (36.0%). Sexual minority women started smoking and transitioned to daily smoking earlier than their straight peers. Use of other tobacco products was higher among sexual minority women: prevalence of e-cigarette (12.4%), hookah (10.3%), and cigar use (7.2%) was more than triple that of their straight female peers (3.4%, 2.5%, and 1.3%, respectively). Likewise, prevalence of sexual minority men’s e-cigarette (7.9%) and hookah (12.8%) use exceeded that of straight men (4.7% and 4.5%, respectively). Tobacco use is significantly higher among sexual minority than straight adults, particularly among sexual minority women. These findings underscore the importance of tobacco control efforts designed to reach sexual minorities and highlight the heterogeneity of tobacco use within this population.