Tobacco Use Among Adults by Sexual Orientation: Findings from the Population Assessment of Tobacco and Health Study

Wheldon, Christopher W.; Kaufman, Annette; Kasza, Karin A.; Moser, Richard P.

doi:10.1089/lgbt.2017.0175

Cited by 178 publications

(110 citation statements)

References 30 publications

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“…All analyses were conducted using STATA V.14. We conducted analyses stratified by sex rather than grouping sexual minority females and males together because of prior research showing different patterns of tobacco use disparities across female and male sexual minorities compared with their heterosexual counterparts 24. We used bivariate and multiple logistic regression models predicting encoded exposure to ads of each tobacco product category with sexual orientation.…”

Section: Methodsmentioning

confidence: 99%

“…In comparison, gay and bisexual men were equally receptive to tobacco marketing compared with heterosexual men 18. In addition, newer forms of tobacco products, including electronic cigarettes (e-cigarettes), flavoured cigars and smokeless tobacco, are marketed online and through social media and are increasingly popular among young adult sexual minorities 24–33. Similarly, the tobacco industry has a long history of targeted marketing of tobacco products, including menthol cigarettes at black, Hispanic and low-income communities.…”

Section: Introductionmentioning

confidence: 99%

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Inequities in tobacco advertising exposure among young adult sexual, racial and ethnic minorities: examining intersectionality of sexual orientation with race and ethnicity

et al. 2019

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ObjectiveThis study examined sexual orientation differences in encoded exposure to tobacco product ads and intersections with race and ethnicity.MethodsWe analysed data from young adults (18–24) from the US Population Assessment of Tobacco and Health Study in 2013 and 2014 (N=9110). First, we compared encoded exposure to cigarette, electronic cigarette (e-cigarette), cigar and smokeless tobacco ads between sexual minorities (lesbian/gay, bisexual and something else) versus heterosexual young adults. We then analysed encoded ad exposure across sexual orientation, racial and ethnic subgroups. Analyses controlled for demographic and tobacco use variables.ResultsBisexual women had significantly higher prevalence of encoded exposure to cigarette and cigar ads compared with heterosexual women, and significantly higher prevalence of encoded e-cigarette ad exposure compared with both heterosexual and lesbian/gay women. There were no significant differences in encoded ad exposure between lesbian versus heterosexual women and between gay or bisexual men versus heterosexual men. Compared with heterosexual white counterparts, increased encoded ad exposures were reported by heterosexual black women (cigarette and cigar ads), black heterosexual men (cigar ads) and bisexual black women (cigarette and cigar ads). Compared with heterosexual non- Hispanic counterparts, increased encoded ad exposures were reported by bisexual Hispanic women (cigarette, e-cigarette and cigar ads) and heterosexual Hispanic men (cigarettes and cigar ads).ConclusionSexual minority women of colour and black heterosexual women and men have increased encoded exposure to certain forms of tobacco ads. Further research is needed to address the impact of tobacco ads among multiple minority individuals based on sex, sexual orientation, race and ethnicity.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Inequities in tobacco advertising exposure among young adult sexual, racial and ethnic minorities: examining intersectionality of sexual orientation with race and ethnicity

et al. 2019

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“…The same has been found to be true among gender minority adolescents (Egan & Perry, ). Furthermore, there is evidence that asexuality—the absence of sexual attraction—is emerging as an alternative sexual identity, and that both asexual men and women systematically differ from other sexual identity groups (e.g., straight, bisexual, and gay/lesbian) on important health behaviors like tobacco use (Wheldon, Kaufman, Kasza, & Moser, ).…”

Section: Ethnoracial Sexual and Gender Identities In An Adolescent mentioning

confidence: 99%

Evidence of Diverse Identities in a Large National Sample of Sexual and Gender Minority Adolescents

Watson¹,

Wheldon²,

Puhl³

2019

J of Research on Adolesc

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147

106

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Adolescence is a time of identity exploration, and preliminary evidence indicates the ways adolescents are describing their sexual and gender identities (SOGI) are changing. A nuanced understanding of SOGI is necessary for valid assessment in developmental research. Current measures do not capture the diversity of emerging identities among young people. Our study analyzed a national sample of 17,112 sexual and gender minority adolescents (13–17 years) to better understand how identity labels are reported across sexual, gender, and ethnoracial minorities. Adolescents reported 26 distinct SOGI categories; 24% of adolescents utilized nontraditional SOGI labels, such as pansexual and nonbinary. These identifications varied significantly as a function of ethnoracial identity. Results have implications for how scholars conceptualize and measure SOGI among adolescents.

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“…Sexual minority young adults (ie, lesbian, gay, bisexual, queer or other non-straight sexual identity) are more likely to use tobacco than non-lesbian, gay, bisexual and/or transgender (LGBT) peers 1 2. Some studies show tobacco use disparities by gender minority status (ie, gender identity different from sex assigned at birth, eg, transgender or gender non-conforming3–6).…”

Section: Introductionmentioning

confidence: 99%

LGBT young adults’ awareness of and receptivity to the This Free Life tobacco public education campaign

Guillory¹,

Crankshaw

Farrelly

et al. 2020

Tob Control

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PurposeThis study measures awareness of and receptivity to the Food and Drug Administration’s This Free Life campaign seeking to change tobacco-related attitudes and beliefs among lesbian, gay, bisexual and/or transgender (LGBT) young adults.MethodsParticipants were young adults who self-identify as LGBT. The evaluation uses a treatment-control design. This study includes data from four survey rounds with participants from each round invited to participate in subsequent rounds and new participants invited to account for attrition. Bivariate analyses assess treatment-control differences in campaign awareness by round. We used multivariable logistic regression models with a time×treatment interaction and covariates to assess whether increases in awareness were greater in treatment than control from follow-ups 1 to 4. Descriptive statistics describe perceived effectiveness and models explore covariates of perceived effectiveness.ResultsAt each round, an increasing number of participants in treatment were brand aware (25%–67%) and reported high (16%–34%) and medium (16%–25%) video awareness compared with control (all p<0.001). Regressions revealed interactions in brand and video awareness, wherein the effect of treatment on awareness increased more over time, with significant treatment-control differences in change from follow-up 1 to 4 (all p<0.05). Reactions to all but one ad were positive (one neutral) with mean perceived effectiveness scores from 3.21 to 3.92 (‘neither disagree nor agree’ to ‘agree’ on 5-point scale). Perceived effectiveness differed by LGBT identity (all p<0.05).ConclusionsAt follow-up 4, This Free Life reached most of the campaign audience in treatment markets and has achieved higher awareness in treatment than control markets, at individual survey rounds and over time.

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Tobacco Use Among Adults by Sexual Orientation: Findings from the Population Assessment of Tobacco and Health Study

Abstract: Our findings reflect a complex relationship between sexual orientation and tobacco use. Gender-based and product-specific approaches to tobacco prevention and control efforts are needed to address the high use of tobacco among sexual minority women.

Cited by 178 publications

References 30 publications

Inequities in tobacco advertising exposure among young adult sexual, racial and ethnic minorities: examining intersectionality of sexual orientation with race and ethnicity

Inequities in tobacco advertising exposure among young adult sexual, racial and ethnic minorities: examining intersectionality of sexual orientation with race and ethnicity

Evidence of Diverse Identities in a Large National Sample of Sexual and Gender Minority Adolescents

LGBT young adults’ awareness of and receptivity to the This Free Life tobacco public education campaign

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