Sex and sexual orientation in relation to tobacco use among young adult college students in the US: a cross-sectional study.
Sex and sexual orientation in relation to tobacco use among young adult college students in the US: a cross-sectional study.
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DOI：
10.1186/s12889-018-6150-x
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发表时间：
2018-11-08
影响因子：
4.5
通讯作者：
Berg CJ
中科院分区：
文献类型：
--
作者：
Li J;Haardörfer R;Vu M;Windle M;Berg CJ
性少数青年是烟草使用的高危人群。本研究调查了在大学就读的年轻成年男性和女性中，香烟和替代烟草产品（ATP）的使用率，分别在性取向（异性恋，男同性恋/女同性恋和双性恋）。对来自格鲁吉亚的3386名18 - 25岁的年轻成人大学生进行了为期两年的纵向研究。检查的相关因素包括社会人口统计学（年龄，性别，性取向，种族/民族，大学类型和父母教育）。结果包括过去30天的烟草使用情况（分别为香烟、小雪茄/小雪茄[LCC]、电子烟、水烟、使用的任何烟草产品和使用的烟草产品数量）。两组，多变量多元回归模型被用来检查男性和女性的烟草使用的预测因素，分别。在男性（N = 1207）中，34.7%使用任何烟草产品; 18.6%使用香烟; 12.3%使用LCC; 16.8%使用电子烟; 14.7%使用水烟。控制社会人口统计学，同性恋性取向（OR = 1.62，p = 0.012）与较高的吸烟几率相关;没有发现性取向和烟草使用之间的其他显着关联。在女性（N = 2179）中，25.3%使用任何烟草产品; 10.4%使用香烟; 10.6%使用LCC; 7.6%使用电子烟; 10.8%使用水烟。双性恋与吸烟（p <0.001），LCC（p <0.001）和电子烟使用（p = 0.006）有关。女同性恋者的性取向与吸烟（p = 0.032）和LCC使用（p <0.001）有关。双性恋预测任何烟草产品的使用（p = 0.002），以及烟草产品的使用数量（p = 0.004）。组间比较显示，性少数地位对LCC使用的影响在男性和女性之间存在显著差异。与异性恋女性相比，性少数群体女性，特别是双性恋女性，使用特定烟草产品的风险更高;与异性恋男性相比，同性恋男性吸烟的风险更高。烟草使用中的这些细微差别应该为针对性少数群体的干预措施提供信息。
Sexual minority young adults represent a high-risk population for tobacco use. This study examined cigarette and alternative tobacco product (ATP) use prevalence across sexual orientation (heterosexual, gay/lesbian, and bisexual) among college-attending young adult men and women, respectively. Baseline data from a two-year longitudinal study of 3386 young adult college students aged 18–25 in Georgia were analyzed. Correlates examined included sociodemographics (age, sex, sexual orientation, race/ethnicity, college type, and parental education). Outcomes included past 30-day use of tobacco (cigarette, little cigars/cigarillos [LCCs], e-cigarettes, hookah, any tobacco product used, and number of tobacco products used, respectively). Two-group, multivariate multiple regression models were used to examine predictors of tobacco use among men and women, respectively. Among men (N = 1207), 34.7% used any tobacco product; 18.6% cigarettes; 12.3% LCCs; 16.8% e-cigarettes; and 14.7% hookah. Controlling for sociodemographics, gay sexual orientation (OR = 1.62, p = 0.012) was associated with higher odds of cigarette use; no other significant associations were found between sexual orientation and tobacco use. Among women (N = 2179), 25.3% used any tobacco product; 10.4% cigarettes; 10.6% LCCs; 7.6% e-cigarettes; and 10.8% hookah. Being bisexual was associated with cigarette (p < 0.001), LCC (p < 0.001), and e-cigarette use (p = 0.006). Lesbian sexual orientation was associated with cigarette (p = 0.032) and LCC use (p < 0.001). Being bisexual predicted any tobacco product used (p = 0.002), as well as number of tobacco products used (p = 0.004). Group comparisons showed that the effect of sexual minority status on LCC use was significantly different for men versus women. Sexual minority women, especially bisexual women, are at higher risk for using specific tobacco products compared to heterosexual women; homosexual men are at increased risk of cigarette use compared to heterosexual men. These nuances in tobacco use should inform interventions targeting sexual minorities.
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DOI：
10.1056/nejmsa1607538
发表时间：
2017-01-26
期刊：
The New England journal of medicine
影响因子：
--
作者：
Kasza KA;Ambrose BK;Conway KP;Borek N;Taylor K;Goniewicz ML;Cummings KM;Sharma E;Pearson JL;Green VR;Kaufman AR;Bansal-Travers M;Travers MJ;Kwan J;Tworek C;Cheng YC;Yang L;Pharris-Ciurej N;van Bemmel DM;Backinger CL;Compton WM;Hyland AJ
通讯作者：
Hyland AJ
影响因子：
4.8
作者：
Bostwick, Wendy B.;Hughes, Tonda L.;Everett, Bethany
通讯作者：
Everett, Bethany
影响因子：
4.7
作者：
Blosnich, John R.;Jarrett, Traci;Horn, Kimberly
通讯作者：
Horn, Kimberly
影响因子：
12.7
作者：
Cochran, Susan D.;Bandiera, Frank C.;Mays, Vickie M.
通讯作者：
Mays, Vickie M.
影响因子：
5.5
作者：
Johnson SE;Holder-Hayes E;Tessman GK;King BA;Alexander T;Zhao X
通讯作者：
Zhao X