Does tobacco industry marketing excessively impact lesbian, gay and bisexual communities?
Does tobacco industry marketing excessively impact lesbian, gay and bisexual communities?
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DOI：
10.1136/tc.2007.024216
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发表时间：
2008-12-01
期刊：
影响因子：
5.2
通讯作者：
Pizacani, B. A.
中科院分区：
文献类型：
--
作者：
Dilley, J. A.;Spigner, C.;Pizacani, B. A.
背景：烟草行业文件披露了专门针对女同性恋者、男同性恋者和双性恋者(LGB)人群的营销计划。研究支持在青少年中接受和接触烟草行业营销和烟草使用吸收之间的因果联系。支持烟草的信息可能会削弱烟草控制活动的有效性，并导致LGB人群的高吸烟率。目的：比较LGB和异性恋人群对烟草行业营销的接受度和暴露程度。方法：在2003-2006年华盛顿州行为风险因素监测系统(BRFSS)中，近400名男同性恋者或双性恋者和600多名女同性恋者或双性恋者被确定。BRFSS包括衡量烟草业营销接受度和曝光度的问题。采用多元Logistic回归模型对男女同性恋者、双性恋者和异性恋人群的吸烟率进行比较。结果：LGB人群的吸烟率高于异性恋者。在对人口统计差异和吸烟状况进行调整后，同性恋和双性恋男性报告说，他们比异性恋男性更多地接触烟草行业营销(免费样品分发)，但他们对此的接受度相同。女同性恋和双性恋女性比异性恋女性更容易接受和接触烟草行业营销。结论：LGB社区，特别是女同性恋和双性恋女性，似乎是烟草行业营销活动的有效目标。限制烟草行业营销和增加个人对营销的抵抗力的战略，可能对减少LGB人群中的吸烟至关重要。
Background: Tobacco industry documents have revealed marketing plans specifically to reach lesbian, gay and bisexual (LGB) populations. Research supports a causal linkage between receptivity and exposure to tobacco industry marketing and tobacco use uptake among adolescents. Pro-tobacco messages may diminish the effectiveness of tobacco control activities and contribute to the high smoking prevalence among LGB populations. Objective: To compare receptivity and exposure to tobacco industry marketing between LGB and heterosexual populations.Methods: Nearly 400 gay or bisexual men and more than 600 lesbian or bisexual women were identified in the 2003-2006 Washington State Behavioral Risk Factor Surveillance System (BRFSS), a state-wide, population-based telephone survey of adults. The BRFSS included questions measuring receptivity and exposure to tobacco industry marketing. Multiple logistic regression models stratified by gender were used to assess differences for lesbians, gays and bisexuals separately, in comparison to their heterosexual counterparts.Results: As expected, smoking prevalence was higher among LGB populations than among heterosexuals. After adjustment for demographic differences and smoking status, gay and bisexual men reported more exposure to tobacco industry marketing (free sample distribution) than straight men, but were equally receptive to it. Lesbian and bisexual women were more receptive to and reported more exposure to tobacco industry marketing than straight women.Conclusion: LGB communities, especially lesbian and bisexual women, appear to be effectively targeted by tobacco industry marketing activities. Strategies to limit tobacco industry marketing, and increase individuals' resistance to marketing, may be critical to reducing smoking among LGB populations.