Disparities in tobacco use by sexual orientation among high school students

Azagba, Sunday; Asbridge, Mark; Langille, Donald B.; Baskerville, Bruce

doi:10.1016/j.ypmed.2014.07.042

Cited by 23 publications

(16 citation statements)

References 35 publications

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“…In our team's mixed methods study of more than 400 bisexual people in Ontario, Canada, we found higher rates of depression, post-traumatic stress disorder, and past-year suicidality among participants aged 16 to 24, relative to participants aged 25 and older . These findings align with data from population-based studies of adolescent or college student samples, many of which have reported the highest rates of poor mental health outcomes among bisexual participants (e.g., Azagba, Asbridge, Langille, & Baskerville, 2014;Hughes, Szalacha, & McNair, 2010;Li, Pollitt, & Russell, 2016). It is notable, however, that in our meta-analysis, we did not find a larger magnitude of disparity between bisexual and gay/lesbian people in studies reporting on adolescent samples; indeed, we found some (albeit inconsistent) evidence that the magnitude of the disparity between sexual orientation groups may increase postadolescence.…”

Section: Important Intersectionssupporting

confidence: 83%

Prevalence of Depression and Anxiety Among Bisexual People Compared to Gay, Lesbian, and Heterosexual Individuals:A Systematic Review and Meta-Analysis

Ross

Salway

Tarasoff

et al. 2017

The Journal of Sex Research

467

300

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Over the past decade, evidence has accumulated to suggest that bisexual people experience higher rates of poor mental health outcomes compared to both heterosexual and gay/lesbian individuals. However, no previous meta-analyses have been conducted to establish the magnitude of these disparities. To address this research gap, we conducted a systematic review and meta-analysis of studies that reported bisexual-specific data on standardized measures of depression or anxiety. Of the 1,074 full-text articles reviewed, 1,023 were ineligible, predominantly because they did not report separate data for bisexual people (n = 562 studies). Ultimately, 52 eligible studies could be pooled in the analysis. Results indicate that across both outcomes, there is a consistent pattern of lowest rates of depression and anxiety among heterosexual people, while bisexual people exhibit higher or equivalent rates in comparison to lesbian/gay people. On the basis of empirical and theoretical literature, we propose three interrelated contributors to these disparities: experiences of sexual orientation-based discrimination, bisexual invisibility/erasure, and lack of bisexual-affirmative support. Implications for interventions to improve the health and well-being of bisexual people are proposed.

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Section: Important Intersectionssupporting

confidence: 83%

Prevalence of Depression and Anxiety Among Bisexual People Compared to Gay, Lesbian, and Heterosexual Individuals:A Systematic Review and Meta-Analysis

Ross

Salway

Tarasoff

et al. 2017

The Journal of Sex Research

467

300

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“…3, 13 -16 For example, Austin et al 13 found that the odds of smoking among lesbian and bisexual youth were 5.3 times higher than for their straight counterparts. In a Canadian study, Azagba et al 16 reported that LGB adolescents were 50% to 168% more likely to smoke daily compared with non-LGB adolescents. These studies have provided evidence for researchers to advocate recognizing sexual minority communities as a priority population for tobacco prevention and cessation services.…”

Section: Daimentioning

confidence: 99%

Tobacco Product Use Among Lesbian, Gay, and Bisexual Adolescents

Dai

2017

Pediatrics

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OBJECTIVES: Sexual minority youth face health disparities and a high risk of substance abuse. This study sought to fully characterize the disparity of tobacco use and risk factors in this high-risk subpopulation. METHODS:Using data from the 2015 Youth Risk Behavior Survey, the current use of various tobacco products (cigarettes, smokeless tobacco, cigars, and e-cigarettes) was compared according to sex and distinct sexual identities (lesbian, gay, bisexual, and unsure). Heterosexual/straight adolescents served as the control group.RESULTS: Of 14 703 respondents, 88.8% were heterosexual/straight, 2.0% were lesbian or gay, 6.0% were bisexual, and 3.2% were unsure about their sexual identity. Sexual minorities had a higher prevalence of tobacco product use than their heterosexual/straight counterparts. Sex had a significant effect on the disparities of tobacco use. Lesbian and bisexual girls had higher odds of reporting current use of any tobacco product, cigarettes, cigars, and e-cigarettes than did straight girls, whereas sexual minority boys had similar smoking behaviors compared with straight boys. Substance use, including marijuana use, drinking, and binge drinking, was significantly associated with any tobacco use. CONCLUSIONS:Tobacco use differs among subgroups of sexual minority youth, with lesbians and bisexual girls having a higher prevalence of tobacco use than their straight peers. Heterogeneity of tobacco use across distinct sexual identity groups underscores the need to develop evidence-based tobacco control strategies for sexual minority youth.

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“…According to the 2013-2014 Canadian Community Health Survey (CCHS), 34.0% of homosexuals (interpret with caution due to marginal sampling variability) and 35.1% of bisexuals among 18- to 24-year-olds report smoking daily or occasionally compared with 23.3% of heterosexuals [3]. Further, 22% of high school-aged adolescents who identify as lesbian, gay, or bisexual report daily cigarette use compared with 11% of non-LGBTQ+ adolescents [4]. …”

Section: Introductionmentioning

confidence: 99%

Perceptions Toward a Smoking Cessation App Targeting LGBTQ+ Youth and Young Adults: A Qualitative Framework Analysis of Focus Groups

Baskerville¹,

Dash²,

Wong³

et al. 2016

JMIR Public Health Surveill

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BackgroundThe prevalence of smoking among lesbian, gay, bisexual, trans, queer, and other sexual minority (LGBTQ+) youth and young adults (YYA) is significantly higher compared with that among non-LGBTQ+ persons. However, in the past, interventions were primarily group cessation classes that targeted LGBTQ+ persons of all ages. mHealth interventions offer an alternate and modern intervention platform for this subpopulation and may be of particular interest for young LGBTQ+ persons.ObjectiveThis study explored LGBTQ+ YYA (the potential users’) perceptions of a culturally tailored mobile app for smoking cessation. Specifically, we sought to understand what LGBTQ+ YYA like and dislike about this potential cessation tool, along with how such interventions could be improved.MethodsWe conducted 24 focus groups with 204 LGBTQ+ YYA (aged 16-29 years) in Toronto and Ottawa, Canada. Participants reflected on how an app might support LGBTQ+ persons with smoking cessation. Participants indicated their feelings, likes and dislikes, concerns, and additional ideas for culturally tailored smoking cessation apps. Framework analysis was used to code transcripts and identify the overarching themes.ResultsStudy findings suggested that LGBTQ+ YYA were eager about using culturally tailored mobile apps for smoking cessation. Accessibility, monitoring and tracking, connecting with community members, tailoring, connecting with social networks, and personalization were key reasons that were valued for a mobile app cessation program. However, concerns were raised about individual privacy and that not all individuals had access to a mobile phone, users might lose interest quickly, an app would need to be marketed effectively, and app users might cheat and lie about progress to themselves. Participants highlighted that the addition of distractions, rewards, notifications, and Web-based and print versions of the app would be extremely useful to mitigate some of their concerns.ConclusionsThis study provided insight into the perspectives of LGBTQ+ YYA on a smoking cessation intervention delivered through a mobile app. The findings suggested a number of components of a mobile app that were valued and those that were concerning, as well as suggestions on how to make a mobile app cessation program successful. App development for this subpopulation should take into consideration the opinions of the intended users and involve them in the development and evaluation of mobile-based smoking cessation programs.

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Disparities in tobacco use by sexual orientation among high school students

Cited by 23 publications

References 35 publications

Prevalence of Depression and Anxiety Among Bisexual People Compared to Gay, Lesbian, and Heterosexual Individuals:A Systematic Review and Meta-Analysis

Prevalence of Depression and Anxiety Among Bisexual People Compared to Gay, Lesbian, and Heterosexual Individuals:A Systematic Review and Meta-Analysis

Tobacco Product Use Among Lesbian, Gay, and Bisexual Adolescents

Perceptions Toward a Smoking Cessation App Targeting LGBTQ+ Youth and Young Adults: A Qualitative Framework Analysis of Focus Groups

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