Sexual orientation disparities in smoking vary by sex and household smoking among US adults: Findings from the 2003–2012 National Health and Nutrition Examination Surveys

Gamarel, Kristi E.; Kahler, Christopher W.; Lee, Ji Hyun; Reisner, Sari L.; Mereish, Ethan H.; Matthews, Alicia K.; Operario, Don

doi:10.1016/j.ypmed.2015.10.008

Cited by 13 publications

(12 citation statements)

References 33 publications

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“…A number of studies illustrate that sexual minority adolescents have higher smoking rates than their heterosexual counterparts [6][7][8][9]. Importantly, these early patterns of cigarette smoking also translate into sexual orientationrelated disparities in smoking among adults [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Family Rejection and Cigarette Smoking Among Sexual and Gender Minority Adolescents in the USA

et al. 2020

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Background: Sexual and gender-minority (SGM) adolescents are more likely than their heterosexual and cisgender peers to smoke cigarettes. Family rejection has been associated with adverse health outcomes; however, few studies have examined whether SGM-specific family rejection is associated with cigarette smoking among SGM adolescents. Methods: A non-probability sample of 11,005 SGM adolescents (M = 15.58, SD = 1.27) completed an online cross-sectional survey. Bivariate and multivariable analyses were conducted to examine associations between SGM-specific family rejection, sociodemographic variables, and smoking. Results: Approximately 7% of the sample currently smoked cigarettes. Pansexual, asexual, trans boys, and non-binary assigned female at birth adolescents had the highest SGM-family rejection scores. In multivariable regression analyses, SGM-specific family rejection was independently associated with smoking after adjusting for covariates (AOR=1.15, 95% CI: 1.04, 1.28). Family support (AOR=0.80, 95% CI: 0.73, 0.88) and experiencing violence (AOR=1.64, 95% CI: 1.49, 1.82) were also associated with smoking in multivariable models. Adolescents who identified as bisexual vs gay/lesbian (AOR=1.50, 95% CI: 1.21, 1.85) and trans boys (AOR=2.05, 95% CI: 1.13, 3.71) vs cisgender girls had an increased odds of smoking. Those who disclosed their sexual orientation identity to most (AOR=1.95, 95%CI 1.45, 2.63) and all (AOR = 1.60, 95% CI: 1.21, 2.11) of their family/parents had increased odds of smoking.

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Section: Introductionmentioning

confidence: 99%

Family Rejection and Cigarette Smoking Among Sexual and Gender Minority Adolescents in the USA

et al. 2020

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“…Additionally, HIV-positive gay and bisexual men may also cope with unique minority stressors such as internalization of negative messages about one’s sexual identity or expression, which can lead to maladaptive coping responses such as substance use (Meyer, 2003); these unique minority stressors have been associated with tobacco use among gay and bisexual men (Gamarel, Neilands, Dilworth, Taylor, & Johnson, 2015; Pachankis, Hatzenbuehler, & Starks, 2014). Moreover, recent evidence suggests that living with another smoker is an increased risk factor for sexual minority men specifically (Gamarel et al, 2016). …”

Section: Introductionmentioning

confidence: 99%

A longitudinal study of persistent smoking among HIV-positive gay and bisexual men in primary relationships

Gamarel

Neilands

Conroy

et al. 2017

Addictive Behaviors

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Introduction We examined the stability of smoking behaviors, and factors associated with persistent smoking in a longitudinal study of HIV-positive gay and bisexual men in primary relationships. Methods A sample of 377 HIV-positive men on antiretroviral therapy and their same-sex partners completed five assessments over two years. Participants completed semi-structured interviews which assessed smoking status, sociodemographic factors, relationship dynamics, and HIV-related disease characteristics. Latent transition analysis estimated the amount of transition in smoking over time. Latent class analysis examined factors associated with smoking status across the study period. Results At baseline, 28.1% (n = 106) of participants reported current smoking. Over 90% of the HIV-positive men remained in the same smoking category over time (68.4% persistent non-smokers; 24.1% persistent smokers). Men whose partners smoked and men with lower income had higher odds of being persistent smokers, whereas older men and men who identified as Latino race/ethnicity had lower odds of being persistent smokers compared to non-smokers. Conclusions Despite efforts to reduce smoking among people living with HIV (PLWH), a substantial subset of men continued to smoke during their two years in the study. Findings suggest that primary partners who also smoke and low income were the strongest predictors of sustained smoking behaviors among HIV-positive men. Additional research is needed to better understand how to increase motivation and support for smoking cessation among PLWH and their primary partners, while attending to how socioeconomic status may inhibit access to and the sustained impact of existing smoking cessation programs.

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“…Several studies have established that sexual minority populations are at elevated risk of smoking compared to their heterosexual counterparts, which is exhibited throughout the life-course (Balsam, Beadnell, & Riggs, 2012; Corliss et al, 2013). Additionally, researchers have established differences in smoking patterns among sexual minority populations by gender; wherein for example, more recent research has established that sexual minority women are more likely to smoke compared to their sexual minority men counterparts (Emory et al, 2015; Gamarel et al, 2016; Operario et al, 2015). …”

Section: Introductionmentioning

confidence: 99%

“…Specifically in relation to smoking behaviors, studies have established that bisexual populations are more likely to smoke compared to their lesbian/gay counterparts (Fredriksen-Goldsen, Kim, Barkan, Muraco, & Hoy-Ellis, 2013; Gamarel et al, 2016). However previous studies have yet to capture: 1) whether higher WTS prevalence rates among sexual minority populations translates into higher prevalence profiles among sexual minority subpopulations in multivariate modeling (e.g., lesbian/gays separated from their bisexual counterparts) compared to their heterosexual counterparts; 2) if such prevalence profiles varies based upon current or lifetime WTS; 3) if these prevalence profiles differ by gender; and lastly, 4) how cigarette smoking status impacts WTS behaviors.…”

Section: Introductionmentioning

confidence: 99%

Waterpipe tobacco smoking among sexual minorities in the United States: Evidence from the National Adult Tobacco Survey (2012-2014)

Ortiz

Mamkherzi

Salloum

et al. 2017

Addictive Behaviors

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Objective The current study examined differences in waterpipe smoking (both lifetime and current) comparing sexual minority populations - those identifying with lesbian, gay, or bisexual identity - to their heterosexual counterparts using a nationally representative dataset. Methods The current study used pooled data from the 2012–2013 & 2013–2014 National Adult Tobacco Survey (NATS). Log-Poisson multivariable regression models were deployed to determine the prevalence of waterpipe smoking behavior among sexual minority individuals controlling for sociodemographic characteristics and stratified by current gender status. Results In fully-adjusted models assessing lifetime WTS, lesbian/gay and bisexual respondents reported higher prevalence of WTS compared to their heterosexual counterparts. This trend held true in gender-stratified models among gay men [gay men: PR 1.25, 95%CI [1.06, 1.47] and women ([lesbians: PR 1.38, 95%CI [1.12, 1.69] and bisexual women: 1.69, 95%CI [1.45, 1.97]). In fully-adjusted models assessing current WTS, lesbian/gay and bisexual respondents reported higher risk of WTS compared to their heterosexual counterparts. This trend held true in gender-stratified models, only for among gay men [gay men: PR 1.56, 95%CI [1.18, 2.05] and bisexual women: 2.38, 95%CI [1.84, 3.09]). Conclusions Among the US general adult population, sexual minorities exhibited increased prevalence of current waterpipe smoking compared to their heterosexual counterparts. This pattern is also shaped by gender and variation of sexual orientation identification (e.g., lesbian/gay vs. bisexual). This warrants development of tailored interventions aimed at decreasing waterpipe smoking among sexual minority populations.

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Sexual orientation disparities in smoking vary by sex and household smoking among US adults: Findings from the 2003–2012 National Health and Nutrition Examination Surveys

Cited by 13 publications

References 33 publications

Family Rejection and Cigarette Smoking Among Sexual and Gender Minority Adolescents in the USA

Family Rejection and Cigarette Smoking Among Sexual and Gender Minority Adolescents in the USA

A longitudinal study of persistent smoking among HIV-positive gay and bisexual men in primary relationships

Waterpipe tobacco smoking among sexual minorities in the United States: Evidence from the National Adult Tobacco Survey (2012-2014)

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