Sexual Orientation Discrimination and Tobacco Use Disparities in the United States
Abstract Introduction Differences in tobacco/nicotine use by sexual orientation are well documented. Development of interventions requires attention to the etiology of these differences. This study examined associations among sexual orientation discrimination, cigarette smoking, any tobacco/nicotine...
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| Veröffentlicht in: | Nicotine & tobacco research 2019-03, Vol.21 (4), p.523-531 |
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| creator | McCabe, Sean Esteban Hughes, Tonda L Matthews, Alicia K Lee, Joseph G L West, Brady T Boyd, Carol J Arslanian-Engoren, Cynthia |
| description | Abstract
Introduction
Differences in tobacco/nicotine use by sexual orientation are well documented. Development of interventions requires attention to the etiology of these differences. This study examined associations among sexual orientation discrimination, cigarette smoking, any tobacco/nicotine use, and DSM-5 tobacco use disorder (TUD) in the United States.
Methods
We used data from the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions based on in-person interviews with a nationally representative sample of noninstitutionalized US adults. Approximately 8.3% of the target population was estimated to have same-sex sexual attraction, 3.1% had at least one same-sex sexual partner in the past-year, and 2.8% self-identified as lesbian, gay, or bisexual.
Results
Sexual attraction, sexual behavior, and sexual identity were significantly associated with cigarette smoking, any tobacco/nicotine use, and DSM-5 TUD. Risk of all tobacco/nicotine outcomes was most pronounced for bisexual adults across all three sexual orientation dimensions. Approximately half of sexual minorities who identified as lesbian or gay and one-fourth of those who identified as bisexual reported past-year sexual orientation discrimination. Sexual minorities who experienced high levels of past-year sexual orientation discrimination had significantly greater probability of past-year cigarette smoking, any tobacco/nicotine use, and TUD relative to sexual minorities who experienced lower levels of sexual orientation discrimination or no discrimination.
Conclusions
Sexual minorities, especially bisexual adults, are at heightened risk of cigarette smoking, any tobacco/nicotine use, and DSM-5 TUD across all three major sexual orientation dimensions. Tobacco prevention and cessation efforts should target bisexual adults and consider the role that sexual orientation discrimination plays in cigarette smoking and treatment of TUD.
Implications
Differences in tobacco/nicotine use by sexual orientation are well documented, but little is known about differences across all three sexual orientation dimensions (attraction, behavior, and identity) or the origins of these differences. This study is the first to show that differences in tobacco/nicotine use across the three sexual orientation dimensions for respondents who were exclusively heterosexually-oriented were minimal, but varied more substantially among sexual minority women and men across the three sexual orientation dimensio |
| doi_str_mv | 10.1093/ntr/ntx283 |
| format | Article |
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Introduction
Differences in tobacco/nicotine use by sexual orientation are well documented. Development of interventions requires attention to the etiology of these differences. This study examined associations among sexual orientation discrimination, cigarette smoking, any tobacco/nicotine use, and DSM-5 tobacco use disorder (TUD) in the United States.
Methods
We used data from the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions based on in-person interviews with a nationally representative sample of noninstitutionalized US adults. Approximately 8.3% of the target population was estimated to have same-sex sexual attraction, 3.1% had at least one same-sex sexual partner in the past-year, and 2.8% self-identified as lesbian, gay, or bisexual.
Results
Sexual attraction, sexual behavior, and sexual identity were significantly associated with cigarette smoking, any tobacco/nicotine use, and DSM-5 TUD. Risk of all tobacco/nicotine outcomes was most pronounced for bisexual adults across all three sexual orientation dimensions. Approximately half of sexual minorities who identified as lesbian or gay and one-fourth of those who identified as bisexual reported past-year sexual orientation discrimination. Sexual minorities who experienced high levels of past-year sexual orientation discrimination had significantly greater probability of past-year cigarette smoking, any tobacco/nicotine use, and TUD relative to sexual minorities who experienced lower levels of sexual orientation discrimination or no discrimination.
Conclusions
Sexual minorities, especially bisexual adults, are at heightened risk of cigarette smoking, any tobacco/nicotine use, and DSM-5 TUD across all three major sexual orientation dimensions. Tobacco prevention and cessation efforts should target bisexual adults and consider the role that sexual orientation discrimination plays in cigarette smoking and treatment of TUD.
Implications
Differences in tobacco/nicotine use by sexual orientation are well documented, but little is known about differences across all three sexual orientation dimensions (attraction, behavior, and identity) or the origins of these differences. This study is the first to show that differences in tobacco/nicotine use across the three sexual orientation dimensions for respondents who were exclusively heterosexually-oriented were minimal, but varied more substantially among sexual minority women and men across the three sexual orientation dimensions. Sexual minorities who experienced high levels of past-year sexual orientation discrimination had significantly greater probability of cigarette smoking, any tobacco/nicotine use and DSM-5 tobacco use disorder.</description><identifier>ISSN: 1469-994X</identifier><identifier>ISSN: 1462-2203</identifier><identifier>EISSN: 1469-994X</identifier><identifier>DOI: 10.1093/ntr/ntx283</identifier><identifier>PMID: 29300994</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Adolescent ; Adult ; Aged ; Cigarette Smoking - epidemiology ; Cigarette Smoking - psychology ; Cigarette Smoking - trends ; Female ; Health Behavior ; Humans ; Male ; Middle Aged ; Minority Groups - psychology ; Original Investigations ; Sexism - psychology ; Sexual and Gender Minorities - psychology ; Sexual Behavior - psychology ; Tobacco Use - epidemiology ; Tobacco Use - psychology ; Tobacco Use - trends ; United States - epidemiology ; Young Adult</subject><ispartof>Nicotine & tobacco research, 2019-03, Vol.21 (4), p.523-531</ispartof><rights>The Author(s) 2017. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2017</rights><rights>The Author(s) 2017. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c338t-c8d24560d44e61bf5d2976d80995f75b9a40fdcf193442d5c04b62f86d2ca0fc3</citedby><cites>FETCH-LOGICAL-c338t-c8d24560d44e61bf5d2976d80995f75b9a40fdcf193442d5c04b62f86d2ca0fc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,1578,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29300994$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McCabe, Sean Esteban</creatorcontrib><creatorcontrib>Hughes, Tonda L</creatorcontrib><creatorcontrib>Matthews, Alicia K</creatorcontrib><creatorcontrib>Lee, Joseph G L</creatorcontrib><creatorcontrib>West, Brady T</creatorcontrib><creatorcontrib>Boyd, Carol J</creatorcontrib><creatorcontrib>Arslanian-Engoren, Cynthia</creatorcontrib><title>Sexual Orientation Discrimination and Tobacco Use Disparities in the United States</title><title>Nicotine & tobacco research</title><addtitle>Nicotine Tob Res</addtitle><description>Abstract
Introduction
Differences in tobacco/nicotine use by sexual orientation are well documented. Development of interventions requires attention to the etiology of these differences. This study examined associations among sexual orientation discrimination, cigarette smoking, any tobacco/nicotine use, and DSM-5 tobacco use disorder (TUD) in the United States.
Methods
We used data from the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions based on in-person interviews with a nationally representative sample of noninstitutionalized US adults. Approximately 8.3% of the target population was estimated to have same-sex sexual attraction, 3.1% had at least one same-sex sexual partner in the past-year, and 2.8% self-identified as lesbian, gay, or bisexual.
Results
Sexual attraction, sexual behavior, and sexual identity were significantly associated with cigarette smoking, any tobacco/nicotine use, and DSM-5 TUD. Risk of all tobacco/nicotine outcomes was most pronounced for bisexual adults across all three sexual orientation dimensions. Approximately half of sexual minorities who identified as lesbian or gay and one-fourth of those who identified as bisexual reported past-year sexual orientation discrimination. Sexual minorities who experienced high levels of past-year sexual orientation discrimination had significantly greater probability of past-year cigarette smoking, any tobacco/nicotine use, and TUD relative to sexual minorities who experienced lower levels of sexual orientation discrimination or no discrimination.
Conclusions
Sexual minorities, especially bisexual adults, are at heightened risk of cigarette smoking, any tobacco/nicotine use, and DSM-5 TUD across all three major sexual orientation dimensions. Tobacco prevention and cessation efforts should target bisexual adults and consider the role that sexual orientation discrimination plays in cigarette smoking and treatment of TUD.
Implications
Differences in tobacco/nicotine use by sexual orientation are well documented, but little is known about differences across all three sexual orientation dimensions (attraction, behavior, and identity) or the origins of these differences. This study is the first to show that differences in tobacco/nicotine use across the three sexual orientation dimensions for respondents who were exclusively heterosexually-oriented were minimal, but varied more substantially among sexual minority women and men across the three sexual orientation dimensions. Sexual minorities who experienced high levels of past-year sexual orientation discrimination had significantly greater probability of cigarette smoking, any tobacco/nicotine use and DSM-5 tobacco use disorder.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Cigarette Smoking - epidemiology</subject><subject>Cigarette Smoking - psychology</subject><subject>Cigarette Smoking - trends</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Minority Groups - psychology</subject><subject>Original Investigations</subject><subject>Sexism - psychology</subject><subject>Sexual and Gender Minorities - psychology</subject><subject>Sexual Behavior - psychology</subject><subject>Tobacco Use - epidemiology</subject><subject>Tobacco Use - psychology</subject><subject>Tobacco Use - trends</subject><subject>United States - epidemiology</subject><subject>Young Adult</subject><issn>1469-994X</issn><issn>1462-2203</issn><issn>1469-994X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtLAzEUhYMotlY3_gCZjSDCaJLJPLIRpD6hULAtuAuZJGMj02RMZqT-e1OmSt24CMnlfJx7ci8ApwheIUiTa9O6cNa4SPbAEJGMxpSS1_2d9wAcef8OIUaoQIdggGkCYRCG4GWm1h2vo6nTyrS81dZEd9oLp1fa9CU3Mprbkgtho4VXG7nhTrda-UibqF2qaGF0q2Q0CwbKH4ODitdenWzvEVg83M_HT_Fk-vg8vp3EIkmKNhaFxCTNoCREZaisUolpnski5EqrPC0pJ7CSokI0IQTLVEBSZrgqMokFh5VIRuCm9226cqWkCPkdr1kTonP3xSzX7K9i9JK92U-WkRznYXAjcLE1cPajU75lq_BzVdfcKNt5hmhBU5IWCAb0skeFs947Vf22QZBtlsBCC9YvIcBnu8F-0Z-pB-C8B2zX_Gf0DdcBkpc</recordid><startdate>20190330</startdate><enddate>20190330</enddate><creator>McCabe, Sean Esteban</creator><creator>Hughes, Tonda L</creator><creator>Matthews, Alicia K</creator><creator>Lee, Joseph G L</creator><creator>West, Brady T</creator><creator>Boyd, Carol J</creator><creator>Arslanian-Engoren, Cynthia</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190330</creationdate><title>Sexual Orientation Discrimination and Tobacco Use Disparities in the United States</title><author>McCabe, Sean Esteban ; Hughes, Tonda L ; Matthews, Alicia K ; Lee, Joseph G L ; West, Brady T ; Boyd, Carol J ; Arslanian-Engoren, Cynthia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c338t-c8d24560d44e61bf5d2976d80995f75b9a40fdcf193442d5c04b62f86d2ca0fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Cigarette Smoking - epidemiology</topic><topic>Cigarette Smoking - psychology</topic><topic>Cigarette Smoking - trends</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Minority Groups - psychology</topic><topic>Original Investigations</topic><topic>Sexism - psychology</topic><topic>Sexual and Gender Minorities - psychology</topic><topic>Sexual Behavior - psychology</topic><topic>Tobacco Use - epidemiology</topic><topic>Tobacco Use - psychology</topic><topic>Tobacco Use - trends</topic><topic>United States - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McCabe, Sean Esteban</creatorcontrib><creatorcontrib>Hughes, Tonda L</creatorcontrib><creatorcontrib>Matthews, Alicia K</creatorcontrib><creatorcontrib>Lee, Joseph G L</creatorcontrib><creatorcontrib>West, Brady T</creatorcontrib><creatorcontrib>Boyd, Carol J</creatorcontrib><creatorcontrib>Arslanian-Engoren, Cynthia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nicotine & tobacco research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McCabe, Sean Esteban</au><au>Hughes, Tonda L</au><au>Matthews, Alicia K</au><au>Lee, Joseph G L</au><au>West, Brady T</au><au>Boyd, Carol J</au><au>Arslanian-Engoren, Cynthia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sexual Orientation Discrimination and Tobacco Use Disparities in the United States</atitle><jtitle>Nicotine & tobacco research</jtitle><addtitle>Nicotine Tob Res</addtitle><date>2019-03-30</date><risdate>2019</risdate><volume>21</volume><issue>4</issue><spage>523</spage><epage>531</epage><pages>523-531</pages><issn>1469-994X</issn><issn>1462-2203</issn><eissn>1469-994X</eissn><abstract>Abstract
Introduction
Differences in tobacco/nicotine use by sexual orientation are well documented. Development of interventions requires attention to the etiology of these differences. This study examined associations among sexual orientation discrimination, cigarette smoking, any tobacco/nicotine use, and DSM-5 tobacco use disorder (TUD) in the United States.
Methods
We used data from the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions based on in-person interviews with a nationally representative sample of noninstitutionalized US adults. Approximately 8.3% of the target population was estimated to have same-sex sexual attraction, 3.1% had at least one same-sex sexual partner in the past-year, and 2.8% self-identified as lesbian, gay, or bisexual.
Results
Sexual attraction, sexual behavior, and sexual identity were significantly associated with cigarette smoking, any tobacco/nicotine use, and DSM-5 TUD. Risk of all tobacco/nicotine outcomes was most pronounced for bisexual adults across all three sexual orientation dimensions. Approximately half of sexual minorities who identified as lesbian or gay and one-fourth of those who identified as bisexual reported past-year sexual orientation discrimination. Sexual minorities who experienced high levels of past-year sexual orientation discrimination had significantly greater probability of past-year cigarette smoking, any tobacco/nicotine use, and TUD relative to sexual minorities who experienced lower levels of sexual orientation discrimination or no discrimination.
Conclusions
Sexual minorities, especially bisexual adults, are at heightened risk of cigarette smoking, any tobacco/nicotine use, and DSM-5 TUD across all three major sexual orientation dimensions. Tobacco prevention and cessation efforts should target bisexual adults and consider the role that sexual orientation discrimination plays in cigarette smoking and treatment of TUD.
Implications
Differences in tobacco/nicotine use by sexual orientation are well documented, but little is known about differences across all three sexual orientation dimensions (attraction, behavior, and identity) or the origins of these differences. This study is the first to show that differences in tobacco/nicotine use across the three sexual orientation dimensions for respondents who were exclusively heterosexually-oriented were minimal, but varied more substantially among sexual minority women and men across the three sexual orientation dimensions. Sexual minorities who experienced high levels of past-year sexual orientation discrimination had significantly greater probability of cigarette smoking, any tobacco/nicotine use and DSM-5 tobacco use disorder.</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>29300994</pmid><doi>10.1093/ntr/ntx283</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| source | Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Cigarette Smoking - epidemiology Cigarette Smoking - psychology Cigarette Smoking - trends Female Health Behavior Humans Male Middle Aged Minority Groups - psychology Original Investigations Sexism - psychology Sexual and Gender Minorities - psychology Sexual Behavior - psychology Tobacco Use - epidemiology Tobacco Use - psychology Tobacco Use - trends United States - epidemiology Young Adult |
| title | Sexual Orientation Discrimination and Tobacco Use Disparities in the United States |
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