Structural Stigma and Cigarette Smoking in a Prospective Cohort Study of Sexual Minority and Heterosexual Youth
Structural Stigma and Cigarette Smoking in a Prospective Cohort Study of Sexual Minority and Heterosexual Youth
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DOI：
10.1007/s12160-013-9548-9
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发表时间：
2014-02-01
影响因子：
3.8
通讯作者：
Austin, S. Bryn
中科院分区：
文献类型：
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作者：
Hatzenbuehler, Mark L.;Jun, Hee-Jin;Austin, S. Bryn
少数民族性别青少年比异性恋者吸烟的可能性更大，但对这些差异的决定因素的研究还很少。本研究的目的是检验暴露于结构性污名是否会预测少数民族性别青少年吸烟。研究使用了参与今日成长研究(2000-2005)的青少年的前瞻性数据。在少数性别青少年中，生活在低结构性污名状态(例如，拥有包括性取向的不歧视政策的州)在调整个人水平的危险因素后吸烟的风险较低(相对风险[RR]=0.97；95%可信区间[CI]，0.96，0.99；P=0.02)。在对潜在的州水平的混杂因素进行额外的控制后，这种关联略显着(RR=0.97；95%CI，0.93，1.00；p=0.06)。相比之下，在异性恋青年中，结构性污名与过去一年的吸烟率没有关联，证明了这些影响对性少数青少年的特异性。结构性污名是性少数青少年吸烟的潜在危险因素。
Sexual minority youth are more likely to smoke cigarettes than heterosexuals, but research into the determinants of these disparities is lacking.This study aimed to examine whether exposure to structural stigma predicts cigarette smoking in sexual minority youth.Prospective data from adolescents participating in the Growing Up Today Study (2000-2005) were utilized.Among sexual minority youth, living in low structural stigma states (e.g., states with non-discrimination policies inclusive of sexual orientation) was associated with a lower risk of cigarette smoking after adjustment for individual-level risk factors (relative risk [RR] = 0.97; 95 % confidence interval [CI], 0.96, 0.99; p = 0.02). This association was marginally significant after additional controls for potential state-level confounders (RR = 0.97; 95 % CI, 0.93, 1.00; p = 0.06). In contrast, among heterosexual youth, structural stigma was not associated with past-year smoking rates, documenting specificity of these effects to sexual minority youth.Structural stigma represents a potential risk factor for cigarette smoking among sexual minority adolescents.