Understanding Sexual Orientation Health Disparities in Smoking: A Population-Based Analysis
Understanding Sexual Orientation Health Disparities in Smoking: A Population-Based Analysis
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DOI：
10.1111/j.1939-0025.2012.01186.x
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发表时间：
2012-10-01
影响因子：
3.3
通讯作者：
Riggs, Karin R.
中科院分区：
文献类型：
--
作者：
Balsam, Kimberly F.;Beadnell, Blair;Riggs, Karin R.
女同性恋、男同性恋和双性恋人群与异性恋同龄人相比，吸烟的风险更高。然而，很少有研究探讨这种差异的原因。根据先前关于与性取向和吸烟相关的心理社会变量的文献，作者测试了风险和保护因素的路径模型，以帮助解释2003年至2007年华盛顿州行为风险因素监测系统的数据在吸烟方面的性取向差异。作者估计了男性和女性的不同模型，将女同性恋者或男同性恋者和双性恋者与异性恋者进行了比较。结果表明，解释变量解释了这种关系的大部分方差，风险增强和风险降低的途径。心理健康、生活不满、饮酒、接触烟草营销和单身关系状态是大多数LGB参与者的风险增强因素。医疗保健服务和收入水平仅会增加双性恋参与者的风险。无论是情感支持，还是对烟草使用的态度和知识都无法解释性取向和吸烟之间的关系。这些发现对这一高危人群的烟草预防和控制工作具有重要意义。
Lesbian, gay, and bisexual populations are at elevated risk for tobacco use compared to their heterosexual peers. However, there is little research examining reasons for this disparity. Drawing on prior literature regarding psychosocial variables associated with both sexual orientation and smoking, the authors tested a path model of risk and protective factors to help explain sexual orientation differences in smoking using data from the Washington State Behavioral Risk Factor Surveillance System from 2003 to 2007. The authors estimated separate models for men and women, comparing lesbians or gays and bisexuals to heterosexuals. Results indicated that the explanatory variables accounted for most of the variance in this relationship, with both risk-enhancing and risk-reducing pathways. Mental health, life dissatisfaction, alcohol use, exposure to tobacco marketing, and single relationship status were risk enhancers for most LGB participants. Health-care access and income level were risk enhancers for bisexual participants only. Neither emotional support nor attitudes and knowledge about tobacco use helped explain the relationship between sexual orientation and smoking. These findings have significant implications for tobacco prevention and control efforts in this high-risk population.