Cigarette smoking behaviors and nicotine dependence at the intersection of sexual identity and sex in the United States: Findings from the National Survey on Drug Use and Health.
Cigarette smoking behaviors and nicotine dependence at the intersection of sexual identity and sex in the United States: Findings from the National Survey on Drug Use and Health.
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DOI：
10.1016/j.pmedr.2024.102593
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发表时间：
2024-02
影响因子：
2.8
通讯作者：
Villanti, Andrea C.
中科院分区：
文献类型：
--
作者：
Ganz, Ollie;Schulz, Jonathan A.;Ehlke, Sarah J.;Jensen, Jessica L. King;Villanti, Andrea C.
简介：在女同性恋、男同性恋和双性恋（LGB）成年人中，吸烟率不成比例地高。然而，将这些身份整合成一个整体可以掩盖群体内部的重要差异（例如，女同性恋/男同性恋与双性恋女性）。本研究的目的是报告最近全国流行率估计和趋势的吸烟行为和尼古丁依赖的性别认同和性别。方法：数据来自2015-2019年全国药物使用和健康调查（n = 210,392；成年人18岁以上），这是一项具有全国代表性的美国物质使用和心理健康的重复横断面研究。我们按性别检查了性别认同与吸烟措施（即以前吸烟、终生吸烟、目前吸烟、目前每天吸烟、尼古丁依赖）之间的双变量和多变量关联。我们还研究了当前和以前吸烟的线性时间趋势。协变量包括年龄、种族/民族、教育程度、家庭年收入和调查年份。结果：双性恋女性的未调整吸烟率最高（31%），既往吸烟率最低（25%）。与异性恋成年人相比，LGB女性和男性当前吸烟、每日吸烟和尼古丁依赖的调整患病率更高。双性恋女性、同性恋和双性恋男性的调整患病率（调整患病率范围：0.78-0.85）低于异性恋者。讨论：这是第一个发现双性恋女性中戒烟者比例过低的研究。结合目前吸烟和尼古丁依赖的高流行率的发现，这些数据表明，迫切需要针对双性恋女性的烟草控制干预措施，以减轻这些个体的吸烟负担。
Introduction: Cigarette smoking is disproportionately high among lesbian, gay, and bisexual (LGB) adults. Yet, collapsing these identities into a monolith can disguise important within group disparities (e.g., lesbian/gay versus bisexual female). The purpose of this study is to report recent national prevalence estimates and trends of cigarette smoking behaviors and nicotine dependence by sexual identity and sex. Methods: Data were from the 2015–2019 National Survey on Drug Use and Health (n = 210,392; adults 18+), a nationally representative, repeated cross-sectional study of substance use and mental health in the U.S. We examined bivariate and multivariable associations between sexual identity and cigarette smoking measures (i.e., former smoking, lifetime smoking, current smoking, current daily smoking, nicotine dependence) by sex. We also examined linear time trends in current and former smoking. Covariates included age, race/ethnicity, education, annual household income, and survey year. Results: Bisexual women had the highest unadjusted prevalence of current smoking (31 %) and lowest of former smoking (25 %). LGB females and males had higher adjusted prevalence of current smoking, daily smoking, and nicotine dependence than heterosexual adults. Bisexual females and gay and bisexual males had lower adjusted prevalence of former smoking (adjusted prevalence ratio range: 0.78–0.85) than heterosexual counterparts. Discussion: This is the first study to identify disproportionately low prevalence of former smoking among bisexual females. Paired with findings of high prevalence of current cigarette smoking and nicotine dependence, these data suggest that tobacco control interventions targeted toward bisexual females are urgently needed to reduce the burden of cigarette smoking among these individuals.
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DOI：
10.1093/ntr/ntab146
发表时间：
2022-01-01
期刊：
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
影响因子：
--
作者：
Crankshaw E;Gaber J;Guillory J;Curry L;Farrelly M;Saunders M;Hoffman L;Ganz O;Delahanty J;Mekos D;Alexander T
通讯作者：
Alexander T
影响因子：
4.2
作者：
Schuler, Megan S.;Collins, Rebecca L.
通讯作者：
Collins, Rebecca L.
影响因子：
5.2
作者：
Guillory, Jamie;Crankshaw, Eric;Delahanty, Janine
通讯作者：
Delahanty, Janine
影响因子：
4.7
作者：
Corliss, Heather L.;Wadler, Brianna M.;Austin, S. Bryn
通讯作者：
Austin, S. Bryn
影响因子：
4.7
作者：
Patterson, Joanne G.;Hinton, Alice;Wewers, Mary Ellen
通讯作者：
Wewers, Mary Ellen