Risk factors related to smoking disparities among sexual minority young adults

描述（由申请人提供）：研究一致表明，女同性恋、男同性恋和双性恋（即，LGB或性少数）人群比一般人群。然而，关键的研究工作仍然是确定这些差异的病因，特别是在定性的作用，家庭，社会文化和心理因素独特的性少数群体。具体而言，暴力和歧视与种族/族裔群体中的危险行为和不良的身心健康有关，但相对较少的研究关注性少数群体中的这些后遗症。此外，缺乏对性少数群体戒烟行为类型和与戒烟行为相关的促进/抑制因素的研究。与国家药物滥用流行病学研究所的研究重点一致，研究1）影响药物使用的多种因素和2）与药物使用相关的心理社会机制的途径，该项目的长期目标是加强目前对戒烟行为和风险因素的理解，这些行为和风险因素单独和叠加地导致性少数人群中的吸烟差异。通过使用横断面网络调查的混合方法，该项目旨在招募年轻成年人（18至24岁）的性少数年轻成年人样本：（1）识别与吸烟相关的风险因素;（2）探索与吸烟相关的风险因素的途径;（3）检查戒烟行为和与戒烟相关的促进/抑制因素。通过加强目前对性少数群体中单一和附加风险的理解，该项目的结果可用于为关键的预防和干预战略提供信息，并产生性少数群体特有的风险和弹性理论模型。 公共卫生相关性：烟草相关问题是2010年健康人群的主要健康指标，具体目标是减少成年人吸烟，1其中18至24岁年龄组的成年吸烟者比例最高（28.5%）。LGB或性少数）人群，他们的吸烟率比一般人群高得多。4，5研究性少数群体的风险和弹性模式和途径，为理论模型提供信息至关重要，这些模型解释了为什么存在这种差异以及可以/应该做些什么来解决这个问题。

DESCRIPTION (provided by applicant): Research consistently demonstrates higher smoking rates - up to 50 to 70 percent higher - among lesbian, gay, and bisexual (i.e., LGB or sexual minority) populations than the general population. However, crucial research efforts remain to determine the etiology for these disparities, especially in qualifying the roles of familial, socio-cultural, and psychological factors unique to sexual minorities. Specifically, violence and discrimination have been associated with risk behaviors and poor mental and physical health among racial/ethnic groups, but relatively little research has looked at these sequelae among sexual minorities. Moreover, there is a paucity of research on types of cessation behaviors and facilitating/inhibiting factors associated with cessation behaviors among sexual minorities. Consistent with National Institute on Drug Abuse epidemiological research foci of studying 1) multiple factors that influence drug use and 2) pathways of psychosocial mechanisms associated with drug use, the long-term goal of this project is to enhance current understanding of cessation behaviors and risk factors that singularly and additively contribute to smoking disparities among sexual minority persons. Through a mixed-methods approach using a cross-sectional, web-based survey, this project specifically aims to recruit a sample of young adult (18 to 24 years of age) sexual minority young adults to: (1) identify risk factors associated with smoking; (2) explore pathways of risk factors associated with smoking; and (3) examine cessation behaviors and facilitating/inhibiting factors associated with smoking cessation. By enhancing current understanding of what confers singular and additive risk among sexual minorities, the results of this project can be used to inform critical prevention and intervention strategies and to generate theoretical models of risk and resiliency unique to sexual minorities. PUBLIC HEALTH RELEVANCE: Tobacco-related problems are a Leading Health Indicator in Healthy People 2010 with specific goals for reduction in use among adults,1 of which the age group of 18 to 24 reflects the highest percentage (28.5 percent) of adult smokers.2, 3 Research consistently demonstrates smoking disparities among lesbian, gay, and bisexual (i.e., LGB or sexual minority) populations, who have much higher smoking rates than the general population.4, 5 It is critical to examine patterns and pathways of risk and resiliency in sexual minorities to inform theoretical models of why this disparity exists and what can/should be done to address it.