Demographic, Healthcare, and Contextual Factors Associated with Smoking Status Among Sexual Minority Women

Matthews, Alicia K.; Steffen, Alana; Hughes, Tonda L.; Aranda, Frances; Mack, Kelly

doi:10.1089/lgbt.2016.0039

Cited by 16 publications

(12 citation statements)

References 36 publications

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“…Other subgroup analyses partially confirm the increased disparity in substance use experienced by bisexual men and women compared to gay men/lesbians and heterosexuals reported elsewhere [ 7 , 8 , 50 , 51 ], but expand these findings by showing an increased risk of co-occurring substance use and psychological distress. In contrast with previous findings, we did not find a gender difference in the sexual orientation disparity in high-risk alcohol consumption among gay men and lesbians [ 7 , 8 ].…”

Section: Discussionsupporting

confidence: 73%

Sexual orientation disparities in the co-occurrence of substance use and psychological distress: a national population-based study (2008–2015)

Bränström

Pachankis

2018

Soc Psychiatry Psychiatr Epidemiol

118

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PurposeAlthough strong evidence documents the elevated prevalence of both substance use and mental health problems among sexual minorities (i.e., gay, lesbian, and bisexuals), relatively less research has examined whether risk of the co-occurrence of these factors is elevated among sexual minorities compared to heterosexuals. The object of this study was to (1) explore sexual orientation-based differences in substance use, psychological distress, and their co-occurrence in a representative sample in Sweden, and (2) examine if greater exposure to stressors, such as discrimination, victimization/threats, and social isolation, could explain these potential disparities and their co-occurrence.MethodsData come from the cross-sectional Swedish National Public Health Survey, which collected random samples of individuals (16–84 years of age) annually from 2008 to 2015, with an overall response rate of 49.7% (n = 79,568 individuals; 1673 self-identified as lesbian, gay, or bisexual). Population-level sexual orientation differences in substance use (i.e., alcohol, tobacco, and cannabis) and psychological distress were examined.ResultsOur findings showed significantly elevated prevalence of high-risk alcohol use, cannabis use, and daily tobacco smoking, among sexual minorities compared to heterosexuals. These substantial disparities in substance use more often co-occurred with psychological distress among sexual minorities than among heterosexuals. The elevated risk of co-occurring psychological distress and substance use was most notable among gay men relative to heterosexual men (adjusted odds ratio [AOR] = 2.65, CI 1.98, 3.55), and bisexual women relative to heterosexual women (AOR = 3.01, CI 2.43, 3.72). Multiple mediation analyses showed that experiences of discrimination, victimization, and social isolation partially explained the sexual orientation disparity in these co-occurring problems.ConclusionsThis study adds to a growing body of research showing that sexual minorities experience multiple threats to optimal health and points toward future interventions that address the shared sources of these overlapping health threats in stigma-related stress.

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Section: Discussionsupporting

confidence: 73%

Sexual orientation disparities in the co-occurrence of substance use and psychological distress: a national population-based study (2008–2015)

Bränström

Pachankis

2018

Soc Psychiatry Psychiatr Epidemiol

118

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“…Our findings echo US research with LBQ women that found ex-smokers had higher odds of not having a partner who smokes [14]. While demographically similar to women who had recently quit, LBQ women who continued to smoke remained surrounded by partner(s), close friends and work colleagues that smoked.…”

Section: Discussionsupporting

confidence: 79%

“…Recent quitters were significantly less likely to report half, most, or all of their friends smoked or to report their partner smoked. Our findings echo US research with LBQ women that found ex-smokers had higher odds of not having a partner who smokes [14]. A plethora of studies-although none with LBQ women-show a smoker's chance of sustained quitting is decreased if there are smokers in their social networks [15][16][17].…”

Section: Discussionsupporting

confidence: 78%

Changes in social networks are associated with lesbian, bisexual and queer women quitting smoking: An analysis of Australian survey data

Kolstee¹,

Deacon

Haidar³

et al. 2018

Drug and Alcohol Review

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Introduction and Aims. Lesbian, bisexual and queer (LBQ) women in Australia and internationally are smoking at least twice the rate of women in the general population. An understanding of smoking behaviours in this population is essential in order to develop effective interventions. Our analysis aimed to investigate differences in smoking patterns and contexts of smoking between current smokers and recent quitters (<2 years to 1 month). Design and Methods. Data were collected through an online anonymous survey conducted in mid-2015. Participants were recruited online from a variety of social networking sites and community-based mailing groups. Results. Overall 257 lesbian, bisexual and queer women completed the survey, 73% current smokers and 27% recent quitters; nearly all had smoked daily at some point in their lives. Multivariate analysis showed recent quitters were less likely to have some (adjusted odds ratio [aOR] 0.19, 95% confidence interval [CI] 0.05-0.71) or half/most/all (aOR 0.12, 95% CI 0.03-0.048) close friends who smoked compared to none, and were more likely to have a non-smoking (aOR 10.2, 95% CI 3.86-27.0) or no regular partner (aOR 4.01, 95% CI 1.47-10.9) than one who smoked. Non-Anglo-Australian women were also more likely to be recent quitters (aOR 2.45 [95% CI 1.10-5.42]) than Anglo-Australian women. Discussion and Conclusions. Understanding the social significance of partners and friends in lesbian, bisexual and queer women's smoking and cessation efforts will be important for developing meaningful, effective and targeted interventions to address the persistent high rates of smoking in this population. [Kolstee J, Deacon RM, Haidar S, Gray J, Mooney-Somers J. Changes in social networks are associated with lesbian, bisexual and queer women quitting smoking: An analysis of Australian survey data. Drug Alcohol Rev 2019;38:76-81]

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“…LGBT targeting was based on the scientific literature, input from our advisory board, and prior research conduct by the team. 4,5,7 Community Partnership…”

Section: Methodsmentioning

confidence: 99%

Adaptation of a Proactive Smoking Cessation Intervention to Increase Tobacco Quitline Use by LGBT Smokers

Matthews¹,

Breen²,

Veluz-Wilkins³

et al. 2019

Progress in Community Health Partnerships

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Demographic, Healthcare, and Contextual Factors Associated with Smoking Status Among Sexual Minority Women

Cited by 16 publications

References 36 publications

Sexual orientation disparities in the co-occurrence of substance use and psychological distress: a national population-based study (2008–2015)

Sexual orientation disparities in the co-occurrence of substance use and psychological distress: a national population-based study (2008–2015)

Changes in social networks are associated with lesbian, bisexual and queer women quitting smoking: An analysis of Australian survey data

Adaptation of a Proactive Smoking Cessation Intervention to Increase Tobacco Quitline Use by LGBT Smokers

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