Intragroup Variance in Lesbian, Gay, and Bisexual Tobacco Use Behaviors: Evidence That Subgroups Matter, Notably Bisexual Women

Emory, Kristen; Kim, Yoonsang; Buchting, Francisco O.; Vera, Lisa; Huang, Jidong; Emery, Sherry

doi:10.1093/ntr/ntv208

Cited by 103 publications

(102 citation statements)

References 36 publications

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“…2,6 The present study assessed tobacco use according to sex and sexual identity among adolescents and similarly found that both lesbian and bisexual girls had higher odds of reporting the current use of any tobacco product, cigarettes, cigars, and e-cigarettes than did straight girls. In contrast, sexual minority boys were far more similar in smoking behaviors compared with straight boys.…”

Section: Discussionmentioning

confidence: 61%

“…2,5 Furthermore, disparities have been identified among these distinct groups, with sexual minority women and bisexual adults having the highest risk of smoking. 2,3,6 The disparities in tobacco use are driven by certain factors, including stress due to social stigma and discrimination, 7,8 and are further exacerbated by aggressive marketing from the tobacco industry and limited access to effective tobacco treatment. 7, 9 -11 It is important to identify smoking patterns and social correlates at an early stage of life for this priority population because risky health behaviors are often established during adolescence, with 9 of 10 smokers having tried their first cigarette by age 18 years.…”

Section: Daimentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 61%

Section: Daimentioning

confidence: 99%

Tobacco Product Use Among Lesbian, Gay, and Bisexual Adolescents

Dai

2017

Pediatrics

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“…National studies indicate that current use of e-cigarettes, 8,9 hookah, 3,9 and cigar/cigarillos 3 is higher among LGB individuals than their heterosexual counterparts. However, among LGB adults, there may be important gender differences in tobacco use.…”

Section: Introductionmentioning

confidence: 98%

“…Sexual minority women smoke cigars or cigarillos more than heterosexual women, but sexual minority men smoke cigars or cigarillos less than heterosexual men. 8 This study examines OTPs and dual use (currently smoking cigarettes and using OTPs) among young adult LGB bar/nightclub patrons.…”

Section: Introductionmentioning

confidence: 99%

Other Tobacco Product Use Among Sexual Minority Young Adult Bar Patrons

Fallin‐Bennett

Lisha

Ling

2017

American Journal of Preventive Medicine

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Introduction Lesbian, gay, and bisexual (LGB) individuals smoke at rates 1.5–2 times higher than the general population, but less is known about LGB consumption of other tobacco products (OTPs) and gender differences. OTP use among young adult LGB bar patrons and the relationship among past quit attempts, intention to quit, and binge drinking with OTP use was examined. Methods A cross-sectional survey of young adults (aged 18–26) in bars/nightclubs in seven U.S. cities between 2012 and 2014 (N=8,010; 1,101 LGB participants) was analyzed in 2016. Logistic regressions examined current use of five OTPs (cigarillos, electronic cigarettes, hookah, chewing tobacco, and snus) and sexual minority status, adjusting for demographics and comparing LB women and GB men with their heterosexual counterparts. Results LGB bar/nightclub patrons used all OTPs more than their heterosexual counterparts. LB women were more likely than heterosexual women to use cigarillos, electronic cigarettes, hookah, chew, and snus. GB men were more likely than heterosexual men to smoke cigarillos, electronic cigarettes, hookah, and use chew and snus. Past-year quit attempt was associated with increased odds of electronic cigarette use in men and women, and increased odds of dual use (cigarettes and OTPs) among men. Intention to quit was negatively associated with dual use among women. Binge drinking was associated with increased use of all OTPs across genders. Conclusions LGB bar-going young adults are at higher risk for OTP use than their heterosexual counterparts. Bar-based interventions are needed to address all forms of tobacco use in this high-risk group.

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“…Numerous studies have documented significantly higher rates of cigarette smoking among sexual minorities than their heterosexual counterparts (Dai, 2017; Emory et al, 2016; Fallin-Bennett et al, 2017; Hu et al, 2016; Johnson et al, 2016). Similar disparities have been observed for transgender individuals (Buchting et al, 2017; Smalley et al, 2016), although less data are available.…”

Section: 0 Introductionmentioning

confidence: 99%

Prevalence and correlates of smoking and e-cigarette use among young men who have sex with men and transgender women

Gerend

Newcomb

Mustanski

2017

Drug and Alcohol Dependence

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Background Although the prevalence of cigarette smoking in the United States has decreased, rates remain elevated among sexual and gender minorities (SGMs). This study examined rates and correlates of tobacco use among young men who have sex with men (YMSM) and transgender women. Methods Participants (N=771) were drawn from the baseline assessment of an ongoing longitudinal cohort study of racially diverse MSM aged 16–29 years. Data collection took place in 2015–2016. Socio-demographic and SGM-specific (e.g., gender identity, sexual identity, physical attraction) correlates of cigarette smoking and electronic cigarette (e-cigarette) use were identified using logistic regression. Results Twenty-one percent were current cigarette smokers. Nearly 40% ever tried an e-cigarette, but regular e-cigarette use was low (3.8%). Smokers were more likely to be older (vs. aged 16–18), less educated, homeless, bisexual or identify as some other sexual minority (vs. gay), attracted to males and females equally or more attracted to females than males (vs. males only), and HIV-positive. E-cigarette users were more likely to be transgender women (vs. cisgender men), White (vs. Black), more educated, and mostly attracted to females. Conclusions Findings highlight important risk factors for tobacco use among SGM youth. Correlates of smoking mirrored findings observed in the general population, but also included factors specific to SGM youth (e.g., sexual orientation, HIV status, homelessness). Although some variables (gender identity, attraction) demonstrated similar relationships with smoking and e-cigarette use, others (race/ethnicity, education) demonstrated opposite patterns. Findings underscore the urgent need for tobacco prevention and cessation interventions for SGM youth.

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Intragroup Variance in Lesbian, Gay, and Bisexual Tobacco Use Behaviors: Evidence That Subgroups Matter, Notably Bisexual Women

Cited by 103 publications

References 36 publications

Tobacco Product Use Among Lesbian, Gay, and Bisexual Adolescents

Tobacco Product Use Among Lesbian, Gay, and Bisexual Adolescents

Other Tobacco Product Use Among Sexual Minority Young Adult Bar Patrons

Prevalence and correlates of smoking and e-cigarette use among young men who have sex with men and transgender women

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