Is There a Relationship Between the Concentration of Same-Sex Couples and Tobacco Retailer Density?
Is There a Relationship Between the Concentration of Same-Sex Couples and Tobacco Retailer Density?
复制标题
DOI：
10.1093/ntr/ntv046
复制
发表时间：
2016-02-01
影响因子：
4.7
通讯作者：
Ribisl, Kurt M.
中科院分区：
文献类型：
--
作者：
Lee, Joseph G. L.;Pan, William K.;Ribisl, Kurt M.
背景：男女同性恋和双性恋人群的烟草使用率明显高于异性恋人群。在收入较低和少数民族较多的社区，烟草零售商的密度较高。同性伴侣往往生活在类似的社区，但这种人口与烟草零售商密度的关联尚未examined.Methods：对于美国97个县的全国样本，我们计算了烟草零售商的数量，每1000人和每1000个家庭在每个人口普查区（n = 17 941）的同性伴侣的比率。使用空间回归，我们研究了这些变量的性别分层模型，包括邻里人口统计和其他环境特征的关联检查confounding.Results：空间回归的结果表明，女性和男性同性伴侣的高利率与烟草零售商的密度较高。然而，这种关联的幅度很小。对于女性夫妇来说，在控制了区域层面的特征之后，这种关联并不显着，例如黑人百分比，西班牙裔百分比，家庭收入中位数，州际公路的存在和城市化程度，这些都是较高的烟草零售商密度的邻里相关性。对于男性夫妇，协会坚持控制后，这些characteristics.Conclusion：同性伴侣居住在烟草零售商密度较高的地区，和男性，这种协会是不能解释的邻里混杂因素，如种族/民族组成和收入。虽然女同性恋、男同性恋和双性恋在烟草使用方面的差异可能受到邻里环境的影响，但这种关联的程度表明，对这些差异的其他解释仍然是重要的研究领域。
Background: Tobacco use is markedly higher among lesbian, gay, and bisexual populations than heterosexuals. Higher density of tobacco retailers is found in neighborhoods with lower income and more racial/ethnic minorities. Same-sex couples tend to live in similar neighborhoods, but the association of this demographic with tobacco retailer density has not been examined.Methods: For a national sample of 97 US counties, we calculated the number of tobacco retailers per 1000 persons and rates of same-sex couples per 1000 households in each census tract (n = 17 941). Using spatial regression, we examined the association of these variables in sex-stratified models, including neighborhood demographics and other environmental characteristics to examine confounding.Results: Results from spatial regression show that higher rates of both female and male same-sex couples were associated with a higher density of tobacco retailers. However the magnitude of this association was small. For female couples, the association was not significant after controlling for area-level characteristics, such as percent black, percent Hispanic, median household income, the presence of interstate highways, and urbanicity, which are neighborhood correlates of higher tobacco retailer density. For male couples, the association persisted after control for these characteristics.Conclusion: Same-sex couples reside in areas with higher tobacco retailer density, and for men, this association was not explained by neighborhood confounders, such as racial/ethnic composition and income. While lesbian, gay, and bisexual disparities in tobacco use may be influenced by neighborhood environment, the magnitude of the association suggests other explanations of these disparities remain important areas of research.