Nicotine and Tobacco Product Use and Dependence Symptoms Among US Adolescents and Adults: Differences by Age, Sex, and Sexual Identity
Nicotine and Tobacco Product Use and Dependence Symptoms Among US Adolescents and Adults: Differences by Age, Sex, and Sexual Identity
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DOI：
10.1093/ntr/ntab127
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发表时间：
2021-06-14
影响因子：
4.7
通讯作者：
McCabe, Sean Esteban
中科院分区：
文献类型：
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作者：
Evans-Polce, Rebecca J.;Veliz, Philip;McCabe, Sean Esteban
简介：性少数群体吸烟的风险增加；然而，由于社会人口因素的影响，这种风险存在异质性。 目的和方法：本研究旨在了解美国性少数群体对烟草使用的脆弱性是否因年龄组而异。在本研究中，我们使用了烟草与健康青少年和成人调查人口评估第 4 波的数据（n = 37 959），这是一项全国代表性调查。我们研究了四个年龄组中按性别和性别认同划分的五种尼古丁/烟草使用结果。这五项结果包括过去 30 天的电子烟使用情况、过去 30 天的香烟使用情况、过去 30 天的其他烟草使用情况、使用的烟草制品数量以及尼古丁依赖症状。 结果：对于男性来说，性别认同差异在成年中期最大，尤其是双性恋男性；成年中期调整后的优势比和调整后的发病率范围为 2.08 至 5.59，而青春期为 0.83-1.62。对于女性来说，性别认同差异从青春期一直持续到成年中期。当比较多个年龄段的男同性恋/女同性恋和双性恋女性时，我们发现尼古丁依赖症状最一致的显着差异；调整后的发病率比率范围为中年期的 1.90 至青春期的 3.26。结论：性少数群体的风险因年龄组、尼古丁/烟草产品和症状严重程度的不同而存在很大差异。我们的研究结果强调了在检查与性别认同相关的尼古丁/烟草差异以及检查按年龄组划分的差异时，超越单一烟草产品的重要性。我们的研究结果表明，性少数群体的年龄差异风险对烟草预防和戒烟工作具有重要意义。
Introduction: Sexual minorities are at increased risk for tobacco use; however, there is heterogeneity in this risk by sociodemographic factors.Aims and Methods: This study sought to understand if vulnerability to tobacco use among US sexual minorities varies by age group. For this study we used data from wave 4 of the Population Assessment of Tobacco and Health adolescent and adult surveys (n = 37 959), a nationally representative survey. We examined five nicotine/tobacco use outcomes by sex and sexual identity across four age groups. The five outcomes included past 30-day e-cigarette use, past 30-day cigarette use, past 30-day other tobacco use, the number of tobacco products used, and nicotine dependence symptoms.Results: For males, sexual identity differences were greatest in middle adulthood, particularly for bisexual males; adjusted odds ratios and adjusted incident rate ratios ranged from 2.08 to 5.59 in middle adulthood compared to 0.83-1.62 in adolescence. For females, sexual identity differences were persistent from adolescence through middle adulthood. We found significant differences most consistently for nicotine dependence symptoms when comparing gay/lesbian and bisexual females across multiple age groups; adjusted incident rate ratios ranged from 1.90 in middle adulthood to 3.26 in adolescence.Conclusions: Risk among sexual minorities varied considerably across age groups and by nicotine/tobacco product and severity of symptoms. Our findings underscore the importance of looking beyond single tobacco products when examining nicotine/tobacco differences related to sexual identity and in examining differences by age group. Our results demonstrating age-varying risk among sexual minorities have important implications for tobacco prevention and cessation efforts.