Association of Coming Out as Lesbian, Gay, and Bisexual+ and Risk of Cigarette Smoking in a Nationally Representative Sample of Youth and Young Adults

Harlow, Alyssa F.; Lundberg, Dielle J.; Raifman, Julia; Tan, Andy S.L.; Streed, Carl G.; Benjamin, Emelia J.; Stokes, Andrew

doi:10.1001/jamapediatrics.2020.3565

Cited by 27 publications

(11 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 41 In a cohort study from a nationally representative sample, changing sexual orientation across waves was associated with cigarette smoking initiation and current smoking. 42 While there is compelling evidence of the association between mental health problems and ENDS use among adolescents and young adults, 43 , 44 sexual orientation changes over time in this particular vulnerable population is not well-established. Therefore, sexual orientation mobility may present more of a challenge for ENDS prevention and control programs targeting youth.…”

Section: Discussionmentioning

confidence: 99%

Timing of ENDS Uptake by Sexual Orientation among Adolescents and Young Adults in Urban Texas

Tamí-Maury

Chen

Sumbe

et al. 2021

Nicotine &Amp; Tobacco Research

View full text Add to dashboard Cite

Introduction Early-onset of Electronic Nicotine Delivering Systems (ENDS) use puts users at higher risk of developing a regular ENDS use pattern and/or transitioning to combusted tobacco products. Previous studies on ENDS use among adolescents have not considered sexual orientation as a fluid trait that can change over time. Our objective was to evaluate whether ENDS initiation differed by sexual orientation in a longitudinal, population-based cohort of adolescents transitioning into young adulthood in Texas. Methods Sample (n = 1712) was drawn from the Texas Adolescent Tobacco and Marketing Surveillance System (waves 5–11) and stratified into three groups, representing sexual orientation: (1) respondents who reported being heterosexuals at each wave (straight), (2) those who consistently self-identified as lesbian, gay or bisexual individuals (LGB), and (3) subjects who reported sexual orientation mobility across waves (mobile). Nonparametric models for interval-censored data were used to estimate the cumulative distribution of age at ENDS initiation by sexual orientation group. Cox models for interval-censored data were used to evaluate whether ENDS initiation varied by sexual orientation group after adjusting for sex assigned at birth, race/ethnicity, cohort, and socioeconomic status. Results Compared to Straight adolescents, the risk of earlier-onset of ENDS use was higher among mobile individuals (HR = 1.43, 95% CI: 1.12 to 1.83) and LGB individuals (HR = 1.49, 95% CI: 1.13 to 1.98), respectively, after adjusting for sociodemographic risk factors. Differences between Straight adolescents and LGB/mobile individuals became more pronounced with increasing age. Conclusion Analyzing sexual mobility overtime is necessary for understanding the risk associated with youth ENDS initiation and subsequent use. Implications Future research should use more accurate sexual orientation assessments to explore further the relationship between sexual orientation mobility and early-onset Electronic Nicotine Delivering Systems (ENDS) use. Understanding the implications of sexual orientation mobility on ENDS initiation will be critical for developing inclusive public health programs aimed at preventing or delaying ENDS use and for providing practical recommendations at state and local levels.

show abstract

Section: Discussionmentioning

confidence: 99%

Timing of ENDS Uptake by Sexual Orientation among Adolescents and Young Adults in Urban Texas

Tamí-Maury

Chen

Sumbe

et al. 2021

Nicotine &Amp; Tobacco Research

View full text Add to dashboard Cite

show abstract

“…9 This is just one example of an intersection between social justice and tobacco. Commercial tobacco is also a barrier to social justice for youth, 10 women, 11 the lesbian, gay, bisexual, transgender (LGBT+) community, 12 Indigenous people, 13 people with lower income 14 and people with less education. 15 The tobacco-related burden of disease and death has also shifted from high-income countries to lower income countries, with over 80% of the world's 1.3 billion tobacco users now living in low-income and middle-income countries.…”

Section: How Is Tobacco Antithetical To Social Justice?mentioning

confidence: 99%

“…This is just one example of an intersection between social justice and tobacco. Commercial tobacco is also a barrier to social justice for youth,10 women,11 the lesbian, gay, bisexual, transgender (LGBT+) community,12 Indigenous people,13 people with lower income14 and people with less education 15…”

Section: How Is Tobacco Antithetical To Social Justice?mentioning

confidence: 99%

Tobacco industry: a barrier to social justice

Romeo-Stuppy¹,

Huber²,

Toebes

et al. 2022

Tob Control

View full text Add to dashboard Cite

“…LGBTQ youths in particular have a higher prevalence of victimization than non-LGBTQ youths because of increased exposure to prejudice and violence at school [13]. Unsupportive family and peers contribute significantly to an increased risk of mental health disorders and substance use [15][16][17]. However, in some situations, disclosure of sexual or gender identity, or "coming out," is associated with reduced mental health issues [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

“…Unsupportive family and peers contribute significantly to an increased risk of mental health disorders and substance use [15][16][17]. However, in some situations, disclosure of sexual or gender identity, or "coming out," is associated with reduced mental health issues [15][16][17]. To counter the negative consequences of coming out, some LGBTQ individuals use selective disclosure strategies, particularly because of concerns about losing friends or family [16].…”

Section: Introductionmentioning

confidence: 99%

Social Media Use and Health and Well-being of Lesbian, Gay, Bisexual, Transgender, and Queer Youth: Systematic Review

Berger¹,

Taba²,

Marino³

et al. 2022

J Med Internet Res

View full text Add to dashboard Cite

Background Lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals are at higher risk of poor mental health and well-being. Social media platforms can provide LGBTQ youths with a space that counters heteronormative environments and potentially supports mental health and well-being. Mental health includes an individual’s state of psychological and emotional well-being and not merely the absence of mental disorders. Objective We sought to identify how LGBTQ youths and adolescents use social media for connection with other LGBTQ peers and groups, identity development, and social support and how these affect mental health and well-being. Methods PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) procedures were used to guide this review. Searches were conducted in ACM Digital Library, CINAHL, Ovid Embase, Ovid MEDLINE, and Web of Science in March 2021. This review focused on LGBTQ youths aged 10 to 24 years. Included peer-reviewed studies must comprise social media; explore peer connection, identity development, or social support; and be published from 2012 onward. In total, 2 researchers extracted data and performed quality assessments independently using the Newcastle-Ottawa Scale for quantitative articles and the Critical Appraisal Skills Programme for qualitative articles. Qualitative synthesis was performed on articles that satisfied the eligibility criteria. Results A total of 26 studies (n=15, 58% qualitative; n=8, 31% quantitative; n=3, 12% mixed methods) met the inclusion criteria. Of the 8 quantitative studies, 6 (75%) were cross-sectional, and 2 (25%) were cohort studies. All studies ranged from moderate to high quality. Social media was a popular tool used by LGBTQ youths to connect with LGBTQ communities. In qualitative data, we found that LGBTQ youths negotiated and explored identity and obtained support from peers on social media. Instagram, Tumblr, and Twitter were commonly used to access LGBTQ content owing to ease of anonymity. Identity management was the most studied social media affordance, important to LGBTQ youths for strategic disclosure. Key strategies for managing identities included being anonymous, censoring locations or content, restricting audiences, and using multiple accounts. Quantitative studies (3/8, 38%) showed that social media was associated with reduced mental health concerns and increased well-being among LGBTQ youths. Mental health concerns arising from social media use were attributed to discrimination, victimization, and policies that did not accommodate changed identities. Conclusions We found that social media may support the mental health and well-being of LGBTQ youths through peer connection, identity management, and social support, but findings were limited by weaknesses in the evidence. More robust and longitudinal studies are needed to determine the relationship between social media use and LGBTQ mental health, particularly among adolescents. The findings may inform interventions to promote social media health literacy and the mental health and well-being of this vulnerable group. Trial Registration PROSPERO CRD42020222535; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=222535

show abstract

Association of Coming Out as Lesbian, Gay, and Bisexual+ and Risk of Cigarette Smoking in a Nationally Representative Sample of Youth and Young Adults

Abstract: This cohort study assesses whether young people who change their sexual identity are associated with having higher risk of cigarette smoking initiation and current smoking compared with those with consistent sexual identities.

Cited by 27 publications

References 43 publications

Timing of ENDS Uptake by Sexual Orientation among Adolescents and Young Adults in Urban Texas

Timing of ENDS Uptake by Sexual Orientation among Adolescents and Young Adults in Urban Texas

Tobacco industry: a barrier to social justice

Social Media Use and Health and Well-being of Lesbian, Gay, Bisexual, Transgender, and Queer Youth: Systematic Review

Contact Info

Product

Resources

About