Cigar and smokeless tobacco use in the lesbian, gay, and bisexual population

Gruskin, Elisabeth P.; Greenwood, Gregory L.; Matevia, Marilyn; Pollack, Lance M.; Bye, Larry; Albright, Victoria

doi:10.1080/14622200701488426

Cited by 15 publications

(10 citation statements)

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“…Current use of cigars and LCCs among LGB adults was higher than that among their HET counterparts, but the same was not observed for e-cigarettes and hookahs. Our findings were in contrast to the results from another study that found cigar use to be lower among the LGB population (Gruskin et al, 2007). Another study that used data from the 2012–2013 National Adult Tobacco Survey (NATS) examined current cigarette smoking and the use of other tobacco products (cigars, pipes, hookahs, e-cigarettes, and smokeless tobacco) by sexual identity and gender (Johnson et al, 2016).…”

Section: Discussioncontrasting

confidence: 99%

“…Thus, it has been well documented that sexual minority populations experience significant disparities related to tobacco use (Balsam et al, 2012; Bennett et al, 2015; Fallin et al, 2015a; Fallin et al, 2015b; King et al, 2012; Lee et al, 2009; Rath et al, 2013). One potential mechanism that explains this disparity is that LGB individuals experience stigma and harassment, discrimination, rejection from family, and even emotional and physical violence (Balsam et al, 2012; Gruskin et al, 2007). As a result, LGB individuals experience more stress, depression, and low self-esteem than do their HET counterparts, making them more vulnerable to use substances such as tobacco.…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have estimated the prevalence of the use of e-cigarettes and other alternative products among LGB individuals to determine whether there are patterns. The results suggest a disparity in the rates of use; however, with a few exceptions (Cabrera-Nguyen et al, 2016; Emory et al, 2016; Huang et al, 2015), the studies were either conducted with small sample sizes (Tami-Maury et al, 2015) or restricted to one city or state (Gruskin et al, 2007; Jordan et al, 2014). In addition, most studies did not examine the underlying factors that contribute to the higher rates of novel and other alternative tobacco product use, especially for e-cigarettes.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of use and perceptions of risk of novel and other alternative tobacco products among sexual minority adults: Results from an online national survey, 2014–2015

Nayak

Salazar

Kota

et al. 2017

Preventive Medicine

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Sexual minority (lesbian, gay, and bisexual [LGB]) populations experience disparities in cigarette use, but sparse evidence exists about novel and other alternative tobacco product use. In this study, we compared rates of novel and other alternative tobacco product use, risk perceptions, and worldview between LGB and heterosexual (HET) adults. An online survey administered in 2014–2015, using a weighted probability sample of 11,525 U.S. adults, assessed awareness of tobacco products; ever and current use of e-cigarettes, cigars, little cigars and cigarillos, and hookahs; perceptions of e-cigarettes; and worldview (individualism vs. communitarianism). Bivariate and adjusted multivariable analyses were performed to determine differences between LGB and HET groups. In the adjusted analyses, LGB adults were 1.5 times more likely to have ever used e-cigarettes (95% CI 1.2–1.9) and 1.9 times more likely to have ever used hookahs (95% CI 1.5–2.4) as compared to HET adults. A lower percentage of LGB adults, as compared to HET adults (16.7% vs. 19.2%), believed that exposure to vapors from e-cigarettes was “harmful” and reported that they “did not know” of any harm (35.1% vs. 39.8%). LGB were 20% less likely than were HET adults to endorse an individualistic worldview. These results suggest that a disparity exists, whereby LGB adults are more likely to have used e-cigarettes and hookahs. In addition, although vapor from e-cigarettes contains nicotine and other chemicals, LGB adults are less likely to perceive exposure to secondhand vapor as harmful. Tailored awareness campaigns and interventions are needed to convey the risks and curb use of these products.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prevalence of use and perceptions of risk of novel and other alternative tobacco products among sexual minority adults: Results from an online national survey, 2014–2015

Nayak

Salazar

Kota

et al. 2017

Preventive Medicine

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“…Fourth, there is only one study on adolescent tobacco use that does not aggregate bisexuality. Fifth, only two measures of smokeless tobacco use were identified, although a recent study outside the date range of our search reports a lower prevalence of smokeless tobacco use among sexual minorities in California 84. Sixth, there is little to no evidence about the prevalence of tobacco use among sexual minority families, particularly families with children.…”

Section: Discussionmentioning

confidence: 93%

Tobacco use among sexual minorities in the USA, 1987 to May 2007: a systematic review

2009

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No language restrictions were used. Abstracts were identified in the literature search (n = 734) and were independently read and coded for inclusion or exclusion by two reviewers. When agreement was not reached, a third reviewer acted as arbitrator. Abstracts were included if they presented data collected in the US from 1987 to May 2007 and reported prevalence or correlation of tobacco use with sexual minority status. Studies reporting data from HIV-positive samples were excluded. The identified articles (n = 46) were independently read by two reviewers who recorded key outcome measures, including prevalence and/or odds ratios of tobacco use, sample size and domain of sexuality (identity, behaviour, or desire). Factors relating to study design and methodology were used to assess study quality according to nine criteria. Results: In the 42 included studies, 119 measures of tobacco prevalence or association were reported. The available evidence points to disparities in smoking among sexual minorities that are significantly higher than among the general population. Conclusions: Ongoing, targeted interventions addressing smoking among sexual minorities are warranted in tobacco control programs.Tobacco use is a major contributor to morbidity and mortality in the US and throughout the world.1 2 The relative burden of tobacco-related disease will be affected by disparities in tobacco use among different socio-demographic groups. In the US, disparities in smoking prevalence have been demonstrated by age, educational attainment, race/ethnicity and gender. With respect to sexual minority populations (including individuals with gay, lesbian, bisexual and transgender identity, and individuals with same-sex relationships and/or attraction), past research has suggested that sexual minority status is associated with higher risk of smoking. In 2001, Ryan and colleagues 4 conducted the first systematic review of smoking among sexual minority populations and identified 12 studies reporting smoking prevalence by sexual orientation. Although the review found some evidence for higher smoking prevalence among sexual minorities, the strength of its conclusions was limited by poor sampling methodology in the identified articles as well as variations in definitions of sexual orientation and smoking. A more recent but limited review of smoking among sexual minority women identified 16 studies and came to similar conclusions. 5This article updates previous reviews and reports findings from 42 studies, many with rigorous sampling designs, identified through a systematic search of the published literature from 1987 to May 2007. The identified studies answer our key question: what is the prevalence of tobacco use in sexual minority populations compared to the general population? Our review includes information on gender, sampling methodology, and the domain of sexuality used to determine sexual minority status. Domain of sexuality has been shown to influence the measurement of smoking prevalence, 6 and can be divided into at least three cate...

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“…Although some SMW identify with a lesbian or bisexual identity, other women who have sex with women participate in same-sex relationships without identifying as "lesbian" or "bisexual." Strikingly, smoking rates among SMW are dramatically and significantly higher (at least double in most cases [48][49][50][51]) than among heterosexual peers and vary between SMW subgroups (48,52,53). Nonsmoking SMW are also significantly more likely to exhibit physiological evidence of secondhand smoke exposure (48).…”

Section: Sexual Minority Women and Respiratory Diseasementioning

confidence: 94%

Women and Lung Disease. Sex Differences and Global Health Disparities

Pinkerton

Harbaugh

Han

et al. 2015

Am J Respir Crit Care Med

124

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There is growing evidence that a number of pulmonary diseases affect women differently and with a greater degree of severity than men. The causes for such sex disparity is the focus of this Blue Conference Perspective review, which explores basic cellular and molecular mechanisms, life stages, and clinical outcomes based on environmental, sociocultural, occupational, and infectious scenarios, as well as medical health beliefs. Owing to the breadth of issues related to women and lung disease, we present examples of both basic and clinical concepts that may be the cause for pulmonary disease disparity in women. These examples include those diseases that predominantly affect women, as well as the rising incidence among women for diseases traditionally occurring in men, such as chronic obstructive pulmonary disease. Sociocultural implications of pulmonary disease attributable to biomass burning and infectious diseases among women in low-to middle-income countries are reviewed, as are disparities in respiratory health among sexual minority women in high-income countries. The implications of the use of complementary and alternative medicine by women to influence respiratory disease are examined, and future directions for research on women and respiratory health are provided.

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Cigar and smokeless tobacco use in the lesbian, gay, and bisexual population

Cited by 15 publications

References 0 publications

Prevalence of use and perceptions of risk of novel and other alternative tobacco products among sexual minority adults: Results from an online national survey, 2014–2015

Prevalence of use and perceptions of risk of novel and other alternative tobacco products among sexual minority adults: Results from an online national survey, 2014–2015

Tobacco use among sexual minorities in the USA, 1987 to May 2007: a systematic review

Women and Lung Disease. Sex Differences and Global Health Disparities

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