Sexual and gender minority young adults' smoking characteristics: Assessing differences by sexual orientation and gender identity

Vogel, Erin A.; Humfleet, Gary L.; Meacham, Meredith C.; Prochaska, Judith J.; Ramo, Danielle E.

doi:10.1016/j.addbeh.2019.03.005

Cited by 15 publications

(7 citation statements)

References 18 publications

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“…Previous studies on cigarette/e-cigarette use among transgender populations have not examined this subgroup. [10][11][12][13][14]16,17,25 There is lack of consensus about the inclusion of crossdressers under the transgender umbrella, as these individuals may not experience gender dissonance and cross dressing is regarded as a form of gender expression rather than indicative of gender identity. 44,45 They were included in this study to acknowledge the diverse identities within the gender spectrum.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies using national probability samples have found that gender minority status was not associated with increased likelihood of current smoking or e-cigarette use. [10][11][12] However, other studies also suggest that transgender individuals were more likely to be current smokers than cisgender people [13][14][15] and that transgender men and boys had increased odds of current smoking compared with cisgender men and boys. 16,17 Studies of sexual and gender minorities have also documented the elevated rates of cigarette smoking among transgender people compared to their cisgender counterparts.…”

Section: Introductionmentioning

confidence: 99%

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Use of Cigarettes and E-Cigarettes/Vaping Among Transgender People: Results From the 2015 U.S. Transgender Survey

Kcomt

Evans-Polce

Veliz³

2020

American Journal of Preventive Medicine

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Introduction:This study examines the demographic characteristics, transgender-specific factors, and discrimination experiences associated with current cigarette smoking, e-cigarette use/vaping, and dual use in a large sample of transgender people. Methods:This was a secondary analysis of the 2015 U.S. Transgender Survey (N=27,715). Conducted in 2019, logistic regression models were used to estimate the AORs and 95% CIs of current smoking, e-cigarette use/vaping, and dual use among transgender people.Results: Overall, 23.6% of respondents used cigarettes, 9.3% used e-cigarettes/vaping products, and 5.2% reported dual use within the past 30 days. Visually non-conforming individuals had greater odds (cigarettes: AOR=1.49, 95% CI=1.35, 1.65; e-cigarettes/vaping: AOR=1.43, 95% CI=1.25, 1.65; dual use: AOR=1.81, 95% CI=1.52, 2.15) compared with visually conforming individuals. Transgender people who had disclosed their transgender identity to their social networks had greater odds of cigarette smoking (AOR=1.30, 95% CI=1.17, 1.45), e-cigarette use/ vaping (AOR=1.30, 95% CI=1.12, 1.52), and dual use (AOR=1.95, 95% CI=1.61, 2.35) compared with individuals who were "out" to none or some people within their networks. Experiencing discrimination (i.e., unequal treatment, verbal harassment, or physical assault) significantly increased the odds for cigarette smoking, e-cigarette use/vaping, and dual use. Transgender people who experienced all three types of discrimination had two times greater odds of current cigarette

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Use of Cigarettes and E-Cigarettes/Vaping Among Transgender People: Results From the 2015 U.S. Transgender Survey

Kcomt

Evans-Polce

Veliz³

2020

American Journal of Preventive Medicine

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“…Measurement and coding details were reported previously. 32 In the TSP trial, from which the historical control groups were drawn, response options for sexual identity were, "straight (heterosexual)," "lesbian/gay (homosexual)," "bisexual," or "not listed (please specify)." Response options for gender identity were "male," "female," or "transgender."…”

Section: Baseline Measuresmentioning

confidence: 99%

“…Cross-tabulations of sexual and gender identity in the present trial were reported previously. 32 In the historical control conditions, participants were 0.7% straight (n = 1), 27.4% lesbian/gay (n = 37), 63% bisexual (n = 85), and 8.9% other sexual identity (n = 12). Gender identity of the historical control group sample was 65.9% (n = 89) female, 31.9% (n = 43) male, and 2.2% (n = 3) transgender.…”

Section: Participant Characteristicsmentioning

confidence: 99%

The Put It Out Project (POP) Facebook Intervention for Young Sexual and Gender Minority Smokers: Outcomes of a Pilot, Randomized, Controlled Trial

Vogel

Ramo

Meacham

et al. 2019

Nicotine &Amp; Tobacco Research

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Introduction This trial investigated whether a Facebook smoking cessation intervention culturally tailored to young sexual and gender minority (SGM) smokers (versus non-tailored) would increase smoking abstinence. Methods Participants were 165 SGM young adult US smokers (age 18–25) recruited from Facebook in April 2018 and randomized to an SGM-tailored (POP; N = 84) or non-tailored (TSP-SGM; N = 81) intervention. Interventions delivered weekly live counseling sessions and 90 daily Facebook posts to participants in Facebook groups. Primary analyses compared POP and TSP-SGM on biochemically verified smoking abstinence (yes/no; primary outcome), self-reported 7-day point prevalence abstinence (yes/no), reduction in cigarettes per week by 50+% from baseline (yes/no), making a quit attempt during treatment (yes/no), and stage of change (precontemplation/contemplation vs. preparation/action). Supplemental analyses compared POP to two historical control groups. Results POP participants were more likely than TSP-SGM participants to report smoking abstinence at 3 (23.8% vs. 12.3%; OR = 2.50; p = .03) and 6 months (34.5% vs. 12.3%; OR = 4.06; p < .001) and reduction in smoking at 3 months (52.4% vs. 39.5%; OR = 2.11; p = .03). Biochemically verified smoking abstinence did not significantly differ between POP and TSP-SGM at 3 (OR = 2.00; p = .33) or 6 months (OR = 3.12; p = .08), potentially due to challenges with remote biochemical verification. In supplemental analyses, POP participants were more likely to report abstinence at 3 (OR = 6.82, p = .01) and 6 (OR = 2.75, p = .03) months and reduced smoking at 3 months (OR = 2.72, p = .01) than participants who received a referral to Smokefree.gov. Conclusions This pilot study provides preliminary support for the effectiveness of a Facebook smoking cessation intervention tailored to SGM young adults. Implications SGM individuals have disproportionately high smoking prevalence. It is unclear whether smoking cessation interventions culturally tailored to the SGM community are more effective than non-tailored interventions. This pilot trial found preliminary evidence that an SGM-tailored Facebook smoking cessation intervention increased reported abstinence from smoking, compared to a non-tailored intervention. Trial Registration NCT03259360.

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“…The development of sexual identity is a di cult, complex, multidimensional process [37]. As an important factor of MSMs' mental health, among different types of sexual minority, the effect of sexual minority identity on risky behavior is different and enhances the rise [38][39][40]. While "coming out" is typically stressful for YMSMs, it is also associated with positive mental health and identity outcomes, especially in the long run [41].…”

Section: Introductionmentioning

confidence: 99%

Chained Multimediator Model of Sexual Orientation Disclosure, Sexual Minority Stigma, Sexual Minority Identity, Social Support, and Resilience among YMSMs

Tan

Cen

Fang

et al. 2021

Preprint

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Introduction: This study aimed to investigate sexual orientation disclosure and mental health among young men who have sex with men (YMSMs). To this end, we constructed a chained multimediator model of sexual minority stigma, sexual minority identity, social support, and resilience, with the moderator of sexual orientation disclosure. Methods: We conducted a cross-sectional survey of 345 YMSMs in Nanning, China. Univariate analysis was used to evaluate factors associated with sexual orientation disclosure. Sexual minority stigma was used to predict identity, with social support as the step 1 mediator and resilience as the step 2 mediator. Sexual minority identity was analyzed using a chained moderated mediation model; sexual orientation disclosure was included as a moderator in all models to control its confounding effect. Results: The average age of YMSMs was 20.0 ± 1.3 years. Univariate analysis indicated that YMSMs who disclosed sexual orientation may have experienced less stigma (15.49 ± 3.02 vs 16.21 ± 2.74), obtained more social support (65.98 ± 11.18 vs 63.19 ± 11.13), had strong psychological resilience (37.40 ± 8.57 vs 35.39 ± 7.73), and had a more positive self-identity (104.12 ± 21.10 vs 95.35 ± 16.67); differences between subgroups were statistically significant (p < 0.05). Sexual minority stigma, perceived stigma, and enacted stigma were significantly associated with social support and resilience. The association between sexual minority stigma and sexual minority identity was significantly mediated by social support (indirect effect [95% CI] = −3.307 [−4.782, −1.907]). Resilience significantly mediated the same association for identity (−2.544 [−4.052, −1.114]). The chained relationship from sexual minority stigma to social support, resilience, and identity was also significant, with an indirect effect of −0.404 [−0.621, −0.249]. Conclusion: Among YMSMs in China, sexual minority stigma affects sexual minority identity through social support and resilience. Given the psychological effects of stigma, social support and resilience must be considered to better promote positive self-identity and mental health among YMSMs.

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Sexual and gender minority young adults' smoking characteristics: Assessing differences by sexual orientation and gender identity

Cited by 15 publications

References 18 publications

Use of Cigarettes and E-Cigarettes/Vaping Among Transgender People: Results From the 2015 U.S. Transgender Survey

Use of Cigarettes and E-Cigarettes/Vaping Among Transgender People: Results From the 2015 U.S. Transgender Survey

The Put It Out Project (POP) Facebook Intervention for Young Sexual and Gender Minority Smokers: Outcomes of a Pilot, Randomized, Controlled Trial

Chained Multimediator Model of Sexual Orientation Disclosure, Sexual Minority Stigma, Sexual Minority Identity, Social Support, and Resilience among YMSMs

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