Sexual Orientation-Related Differences in Tobacco Use and Secondhand Smoke Exposure Among US Adults Aged 20 to 59 Years: 2003-2010 National Health and Nutrition Examination Surveys
Sexual Orientation-Related Differences in Tobacco Use and Secondhand Smoke Exposure Among US Adults Aged 20 to 59 Years: 2003-2010 National Health and Nutrition Examination Surveys
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DOI：
10.2105/ajph.2013.301423
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发表时间：
2013-10-01
影响因子：
12.7
通讯作者：
Mays, Vickie M.
中科院分区：
文献类型：
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作者：
Cochran, Susan D.;Bandiera, Frank C.;Mays, Vickie M.
目标.我们调查了性取向相关的差异，烟草使用和二手烟（SHS）暴露在全国代表性样本的美国成年人。2003-2010年国家健康和营养检查调查评估了11744名年龄在20至59岁之间的人的性取向，烟草使用和SHS暴露（非吸烟者中可替宁水平>= 0.05 ng/mL）。我们使用多变量方法比较了男同性恋（n = 180）、双性恋（n = 273）、有同性恋经历（n = 388）和纯异性恋（n = 10 903）人群的烟草使用率和SHS暴露，并对人口统计学混杂因素进行了调整。女同性恋和双性恋妇女的烟草使用率高于异性恋妇女。在非吸烟者中，SHS暴露在女同性恋和有同性恋经历的女性中比在异性恋女性中更普遍。不吸烟的女同性恋者报告说，工作场所的暴露和双性恋妇女更大的家庭暴露比异性恋妇女。除了不吸烟的男同性恋者的工作场所暴露低于异性恋者外，男性之间的相同比较并不显着。不吸烟的性少数女性比不吸烟的异性恋女性更容易接触到SHS。需要开展公共卫生工作，减少这一弱势群体的SHS暴露。
Objectives. We investigated sexual orientation-related differences in tobacco use and secondhand smoke (SHS) exposure in a nationally representative sample of US adults.Methods. The 2003-2010 National Health and Nutrition Examination Surveys assessed 11 744 individuals aged 20 to 59 years for sexual orientation, tobacco use, and SHS exposure (cotinine levels >= 0.05 ng/mL in a nonsmoker). We used multivariate methods to compare tobacco use prevalence and SHS exposure among gay or lesbian (n = 180), bisexual (n = 273), homosexually experienced (n = 388), and exclusively heterosexual (n = 10 903) individuals, with adjustment for demographic confounding.Results. Lesbian and bisexual women evidenced higher rates of tobacco use than heterosexual women. Among nonsmokers, SHS exposure was more prevalent among lesbian and homosexually experienced women than among heterosexual women. Nonsmoking lesbians reported greater workplace exposure and bisexual women greater household exposure than heterosexual women did. Identical comparisons among men were not significant except for lower workplace exposure among nonsmoking gay men than among heterosexual men.Conclusions. Nonsmoking sexual-minority women are more likely to be exposed to SHS than nonsmoking heterosexual women. Public health efforts to reduce SHS exposure in this vulnerable population are needed.