Inequities in tobacco advertising exposure among young adult sexual, racial and ethnic minorities: examining intersectionality of sexual orientation with race and ethnicity
Inequities in tobacco advertising exposure among young adult sexual, racial and ethnic minorities: examining intersectionality of sexual orientation with race and ethnicity
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DOI：
10.1136/tobaccocontrol-2019-055313
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发表时间：
2021-01-01
期刊：
影响因子：
5.2
通讯作者：
Potter, Jennifer
中科院分区：
文献类型：
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作者：
Tan, Andy S. L.;Hanby, Elaine P.;Potter, Jennifer
目的本研究探讨编码暴露于烟草产品广告的性取向差异和与种族和ethnication.Methods的交叉点，我们分析了2013年和2014年美国烟草与健康研究人口评估（N=9110）的年轻人（18-24）的数据。首先，我们比较了性少数群体（女同性恋/男同性恋，双性恋和其他人）与异性恋年轻人对香烟，电子烟（电子烟），雪茄和无烟烟草广告的编码暴露。然后，我们分析了性取向，种族和民族亚组的编码广告曝光。控制人口统计学和烟草使用variables.Results分析双性恋女性有显着较高的患病率编码暴露于香烟和雪茄广告相比，异性恋女性，和显着较高的患病率编码电子烟广告暴露相比，异性恋和女同性恋/男同性恋女性。女同性恋与异性恋女性之间以及男同性恋或双性恋男性与异性恋男性之间的编码广告曝光率没有显着差异。与异性恋的白色人相比，异性恋的黑人女性（香烟和雪茄广告）、黑人异性恋男性（雪茄广告）和双性恋的黑人女性（香烟和雪茄广告）的编码广告曝光率增加。与异性恋非西班牙裔同行相比，双性恋西班牙裔女性（香烟，电子烟和雪茄广告）和异性恋西班牙裔男性（香烟和雪茄广告）报告了增加的编码广告暴露。需要进一步研究烟草广告对基于性别、性取向、种族和族裔的多个少数群体的影响。
Objective This study examined sexual orientation differences in encoded exposure to tobacco product ads and intersections with race and ethnicity.Methods We analysed data from young adults (18-24) from the US Population Assessment of Tobacco and Health Study in 2013 and 2014 (N=9110). First, we compared encoded exposure to cigarette, electronic cigarette (e-cigarette), cigar and smokeless tobacco ads between sexual minorities (lesbian/gay, bisexual and something else) versus heterosexual young adults. We then analysed encoded ad exposure across sexual orientation, racial and ethnic subgroups. Analyses controlled for demographic and tobacco use variables.Results Bisexual women had significantly higher prevalence of encoded exposure to cigarette and cigar ads compared with heterosexual women, and significantly higher prevalence of encoded e-cigarette ad exposure compared with both heterosexual and lesbian/gay women. There were no significant differences in encoded ad exposure between lesbian versus heterosexual women and between gay or bisexual men versus heterosexual men. Compared with heterosexual white counterparts, increased encoded ad exposures were reported by heterosexual black women (cigarette and cigar ads), black heterosexual men (cigar ads) and bisexual black women (cigarette and cigar ads). Compared with heterosexual non- Hispanic counterparts, increased encoded ad exposures were reported by bisexual Hispanic women (cigarette, e-cigarette and cigar ads) and heterosexual Hispanic men (cigarettes and cigar ads).Conclusion Sexual minority women of colour and black heterosexual women and men have increased encoded exposure to certain forms of tobacco ads. Further research is needed to address the impact of tobacco ads among multiple minority individuals based on sex, sexual orientation, race and ethnicity.