Tobacco Control as an LGBTQ+ Issue: Knowledge, Attitudes, and Recommendations from LGBTQ+ Community Leaders

Acosta-Deprez, Veronica; Jou, Judy; London, Marisa; Ai, Mike; Chu, Carolyn; Cermak, Nhi; Kozlovich, Shannon

doi:10.3390/ijerph18115546

Cited by 17 publications

(10 citation statements)

References 37 publications

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“…Findings expand upon limited work regarding a range of factors that are related to cannabis use among SM relative to heterosexual individuals, including cannabis-related marketing exposure 34 and harm perceptions. 26 They are consistent with those found among adolescent and young adult samples 34,35 and found in the tobacco literature, 60,61 which demonstrate that SM young adults report greater tobacco marketing exposure due to targeted marketing efforts from the tobacco industry (e.g., at LGBTQ+ community events). SM females’ lower cannabis-related harm perceptions relative to heterosexual females may be due to multiple factors, including: (a) higher rates of recent cannabis marketing exposure (as marketing efforts often include health claims and few health warnings 62 -64 ), particularly in places like Oklahoma with high levels of cannabis marketing exposure 43,44 ; and (b) greater use within LGBTQ+ social networks, which may impact risk perceptions via social norms.…”

Section: Discussionsupporting

confidence: 86%

Cannabis Use Differences Among Sexual Minority Versus Heterosexual Females and Males in Oklahoma: The Roles of Mental Health, Cannabis Perceptions, and Cannabis Marketing Exposure

Romm,

Ehlke,

Smith

et al. 2023

Substance Use & Addiction Journal

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Introduction: Despite the high cannabis use rates among sexual minority (SM) individuals, less research has examined factors related to cannabis use among SM (vs. heterosexual) individuals, especially in places with legal medical cannabis retail markets and high structural stigma, like Oklahoma. Methods: Data were from a survey of Oklahoma adults, including 3020 females (18.6% SM) and 2279 males (10.1% SM). Bivariate analyses examined associations of sexual identity with cannabis-related factors (i.e., perceived harm, positive attitudes, marketing exposure, depressive symptoms, anxiety symptoms) and cannabis use and use severity (i.e., past 30-day use, daily/near-daily use, cannabis use disorder [CUD] symptoms). Logistic regression examined associations of sexual identity and cannabis-related factors with cannabis use and use severity among females and males, separately. Results: SM (vs. heterosexual) females reported greater odds of past 30-day cannabis use and daily/near-daily use, lower harm perceptions, greater marketing exposure, and higher rates of depressive/anxiety symptoms. Lower harm perceptions and greater marketing exposure were associated with greater odds of past 30-day use, whereas marketing exposure was associated with greater odds of daily/near-daily use. SM (vs. heterosexual) males reported greater odds of daily/near-daily use and higher rates of depressive/anxiety symptoms. Conclusions: SM (vs. heterosexual) females reported higher rates of cannabis use, whereas SM (vs. heterosexual) females and males reported higher rates of daily/near-daily cannabis use. Potential targets for cannabis-related health campaigns aimed at reducing use differences include correcting misinterpretations of harm that may emanate from cannabis marketing efforts among females and addressing depressive symptoms among males.

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Section: Discussionsupporting

confidence: 86%

Cannabis Use Differences Among Sexual Minority Versus Heterosexual Females and Males in Oklahoma: The Roles of Mental Health, Cannabis Perceptions, and Cannabis Marketing Exposure

Romm,

Ehlke,

Smith

et al. 2023

Substance Use & Addiction Journal

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“… 27 , 28 Tobacco companies, attuned to the stigmatization and legal and social restrictions faced by members of the SGM community, have been successful in framing tobacco use as a personal right and freedom. 29–31 Conversely, by stigmatizing cigarette smoking, prevention and cessation interventions may inadvertently re-stigmatize SGM people, contributing to continued cigarette use. Thus, to mitigate SGM cigarette smoking disparities, prevention and cessation interventions may need to acknowledge SGM young peoples’ experiences with minority stress and the myriad reasons SGM use tobacco products, without stigmatizing the act of cigarette smoking itself.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Nicotine and Tobacco Product Use by Sexual Identity, Gender Identity, and Sex Assigned at Birth Among Emerging Adult Tobacco Users in California, United States

Krueger

Hong

Cunningham

et al. 2023

Nicotine and Tobacco Research

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Introduction Sexual and gender minority (SGM) nicotine and tobacco use disparities are well-documented among youth and young adults (YYA), and despite decades of prevention efforts, these disparities stubbornly persist. To better understand tobacco use disparities and craft tailored interventions, tobacco use patterns must be assessed in a contemporary sample of YYA across lines of sexual and gender identity, sex assigned at birth, and tobacco product types. Methods Data were from an online survey of a diverse sample of emerging adult tobacco users (ages 18–29; N=1,491) in California, United States (U.S., 2020–2021). Participants were recruited from various online and in-person locations. Bivariate and adjusted models assessed differences in four nicotine and tobacco use outcomes (past 30-day use of cigarettes, e-cigarettes, other tobacco products, multiple tobacco product types) across six groups: cisgender heterosexual males, cisgender heterosexual females, cisgender sexual minority (SM) males, cisgender SM females, transfeminine participants, and transmasculine participants. Results Compared to cisgender heterosexual males, both transfeminine (OR=2.25, 95% CI=1.29–4.05) and transmasculine (OR=1.85, 95% CI=1.32–2.80) participants had higher odds of using cigarettes. Few differences were noted between groups in use of e-cigarettes. Cisgender heterosexual males had higher odds of other tobacco product use, compared to most other groups (e.g., cisgender SM males: OR=0.57, 95% CI=0.37–0.87). Transmasculine participants had higher odds of multiple product use, compared to cisgender heterosexual females. Among multiple product users, transfeminine participants had the highest prevalence of using all three individual product types (35.6%). Conclusions Results highlight the need for different tobacco control approaches across sexual and gender identities, sex assigned at birth, and nicotine and tobacco products. Implications Sexual and gender minority (SGM) nicotine and tobacco use disparities remain entrenched, despite concerted efforts to reduce them. The SGM population is heterogeneous and different SGM subgroups may have different needs. This study assessed, among young adult nicotine and tobacco users in California, U.S., patterns of tobacco use across sexual and gender identities, sex assigned at birth, as well as specific tobacco products used – a necessity to craft tailored tobacco control measures. We found patterns of nicotine and tobacco product use across several of these characteristics, highlighting how different prevention and cessation interventions may be needed to meaningfully address SGM nicotine and tobacco use disparities.

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“…The effectiveness of TID campaigns used in conjunction with consciousness raising to reduce tobacco use disparities in LGBTQ and Black/African American communities warrants further study. But as these communities are heterogeneous and intersecting, stakeholders within these minority groups emphasize the need for community-engaged, tailored approaches (Acosta-Deprez et al, 2021; Mills et al, 2021).…”

Section: Implications For Research and Practicementioning

confidence: 99%

Inoculating Black/African American and LGBTQ Communities Against the Tobacco Industry: The Role of Community Connectedness and Tobacco Denormalization Beliefs

Wheldon

Skurka

Eng

2023

Health Promotion Practice

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The purpose of this study was to explore how connectedness to Black/African American or lesbian, gay, bisexual, transgender and queer (LGBTQ) communities can promote anti-tobacco industry beliefs and to examine the role of targeted anti-tobacco industry messaging (i.e., tobacco industry denormalization [TID] messages).We hypothesized that community connectedness would predict anti-tobacco industry motivation (H1) and that this effect would be mediated by community-specific anti-industry beliefs (H2). We also hypothesized that these effects would be greater (i.e., moderated) for individuals exposed to targeted TID messages (H3). This study was a secondary analysis of data from a web-based experiment focused on the effects of counter-industry messages (data collected in 2020). The sample consisted of 430 Black/African Americans and 458 LGBTQ young adults. Hypotheses were tested using structural equation modeling. In support of hypothesis 1, community connectedness was associated with anti-tobacco industry motivation for both the LGBTQ and Black/African American subsamples. Hypothesis 2 was also supported. The associations between community connectedness and anti-industry motivations were partially mediated by anti-industry beliefs. Hypothesis 3 was not supported. Exposure to counter-industry messages did not modify the structural model; however, counter-industry messages increased anti-industry beliefs in both subsamples. Fostering community connectedness may help to mobilize community-based tobacco control efforts. Furthermore, interventions targeting anti-tobacco industry beliefs may be effective at reducing tobacco-related disparities. Anti-tobacco industry beliefs can be increased using brief targeted TID messages. Collectively, these findings suggest that community-based approaches rooted in consciousness-raising action may provide a useful model for future tobacco control interventions.

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Tobacco Control as an LGBTQ+ Issue: Knowledge, Attitudes, and Recommendations from LGBTQ+ Community Leaders

Cited by 17 publications

References 37 publications

Cannabis Use Differences Among Sexual Minority Versus Heterosexual Females and Males in Oklahoma: The Roles of Mental Health, Cannabis Perceptions, and Cannabis Marketing Exposure

Cannabis Use Differences Among Sexual Minority Versus Heterosexual Females and Males in Oklahoma: The Roles of Mental Health, Cannabis Perceptions, and Cannabis Marketing Exposure

Prevalence of Nicotine and Tobacco Product Use by Sexual Identity, Gender Identity, and Sex Assigned at Birth Among Emerging Adult Tobacco Users in California, United States

Inoculating Black/African American and LGBTQ Communities Against the Tobacco Industry: The Role of Community Connectedness and Tobacco Denormalization Beliefs

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