LGB Tobacco Control: Do Health Belief Model Constructs Predict Tobacco Use Intentions Differently between LGB and Heterosexual Individuals?

LGB Tobacco Control: Do Health Belief Model Constructs Predict Tobacco Use Intentions Differently between LGB and Heterosexual Individuals?
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DOI:
10.3390/ijerph18137008
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发表时间:
2021-06-30
影响因子:
--
通讯作者:
Chen B
Chen B
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Li Y;Yang B;Chen B

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这项研究包括两项研究,测试健康信念模型(HBM)结构是否预测异性恋和女同性恋,男同性恋和双性恋(LGB)人群之间的烟草使用意图不同。研究1(n = 1808名美国成年吸烟者)发现,吸烟对健康的威胁和好处的感知不同地预测了异性恋和LGB吸烟者继续吸烟的意图。与异性吸烟者相比,LGB吸烟者的吸烟意愿与吸烟的健康威胁感知呈较弱的负相关,与吸烟的益处感知呈较强的正相关。研究2(n = 2801美国成年人)发现,感知的健康威胁和感知的吸烟障碍对异性恋和LGB个体之间的吸烟意图有不同的预测。感知的健康威胁vaping只有负面预测vaping异性恋人群的意图。与异性恋人群相比,LGB人群对电子烟的感知障碍与电子烟的意图存在更强的负相关。我们的研究结果表明,相比烟草相关的健康后果的看法(感知的健康威胁),行为的看法(感知的好处和障碍)可能有更强的影响烟草使用的意图在LGB的人。因此,侧重于减少男女同性恋、双性恋和变性者群体中与烟草有关的差异的努力应解决烟草使用的好处和障碍。
This research includes two studies testing whether the Health Belief Model (HBM) constructs predict tobacco use intentions differently between heterosexual and lesbian, gay, and bisexual (LGB) people. Focusing on cigarette smoking, Study 1 (n = 1808 U.S. adult current smokers) found that the perceived health threat and perceived benefits of smoking differently predicted intentions to continue smoking between heterosexual and LGB smokers. The perceived health threat of smoking had a weaker negative relationship and perceived benefits of smoking had a stronger positive relationship with smoking intentions among LGB smokers than heterosexual smokers. Focusing on vaping, Study 2 (n = 2801 U.S. adults) found that the perceived health threat and perceived barriers of vaping differentially predicted vaping intentions between heterosexual and LGB individuals. The perceived health threat of vaping only negatively predicted vaping intentions among heterosexual people. Perceived barriers to vaping had a stronger negative relationship with intentions to vape among LGB people than among heterosexual people. Our finding suggests that compared to perceptions of tobacco-related health consequences (perceived heath threat), behavioral perceptions (perceived benefits and barriers) may have stronger impacts on tobacco use intentions among LGB people. Thus, efforts focusing on reducing tobacco-related disparities among the LGB community should address perceived benefits and barriers of tobacco use.
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