Cigarette smoking, e-cigarette use, and sexual identity among high school students in the USA

Azagba, Sunday; Latham, Keely; Shan, Lingpeng

doi:10.1007/s00431-019-03420-w

Cited by 18 publications

(32 citation statements)

References 46 publications

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“…A prior study also has shown that sexual identity disorder is associated with both cigarette smoking and e-cigarette use among high school students. 16 Our study did not include adults younger than 18 years old, though subgroup analyses by age showed that our results were broadly consistent across different age groups.…”

Section: Discussionmentioning

confidence: 68%

E-cigarette Use and Risk Behaviors among Lesbian, Gay, Bisexual, and Transgender Adults: The Behavioral Risk Factor Surveillance System (BRFSS) Survey

Rifai

Mirbolouk²,

Jia³

et al. 2020

kjm

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Introduction: We studied prevalence of e-cigarette use among lesbian, gay, bisexual, and transgender (LGBT) individuals and its association with risk behaviors. Methods: Using data from the Behavioral Risk Factor Surveillance System (BRFSS) survey, we assessed self-reported sexual orientation, e-cigarette use, cigarettes, marijuana, smokeless tobacco, and high-risk behavior (using non-prescribed drugs, treatment for sexually transmitted disease, or receiving monetary or drug compensation in exchange for sex in the previous year). We used multivariable-adjusted logistic regression models to study the association between LGBT and risk behaviors. Results: Prevalence of e-cigarette use among LGBT adults was 13%, nearly twice that of heterosexual adults. LGBT were more likely [Odds Ratio (95% Confidence Interval)] to report current use of e-cigarettes 1.84 (1.64,2.06), cigarettes 1.61 (1.49,1.73), marijuana 2.37 (1.99,2.82), and high-risk behavior 3.69 (3.40,4.01) compared to heterosexual adults. Results for smokeless tobacco were not significant. Conclusion: There are disparities in e-cigarette and other risk behaviors among LGBT adults, which may increase risk of adverse health effects in this vulnerable population.

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Section: Discussionmentioning

confidence: 68%

E-cigarette Use and Risk Behaviors among Lesbian, Gay, Bisexual, and Transgender Adults: The Behavioral Risk Factor Surveillance System (BRFSS) Survey

Rifai

Mirbolouk²,

Jia³

et al. 2020

kjm

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“…Sexual minority identification was not significantly associated with an increased likelihood of dual/poly tobacco use for participants who identified as male; however, for participants who identified as female, a twofold increase was observed. Previous studies have found higher tobacco use rates in youth who identify as bisexual 8,14 , including increased risk in adolescent bisexual girls 7,12,14 and lesbians 7,12 , pointing to increased risk for usage and ultimately adverse health outcomes for sexual minority girls 15 . Although studies with youth sexual minority subpopulations are few, research with adults has reported that lesbians and bisexual women have greater odds of tobacco use 16 , including dual use 17 , with some research suggesting that bisexual women are particularly at risk 18,19 .…”

Section: Discussionmentioning

confidence: 96%

“…Additionally, bisexual female youth had increased odds of vaping ≥10 and ≥20 of the past 30 days, and lesbians had higher odds of vaping ≥20 of the past 30 days, compared to their heterosexual female peers 12 . Across the female groups, bisexuals had the greatest odds of smoking (overall, and for ≥10 and ≥20 days) 12 .…”

Section: Introductionmentioning

confidence: 93%

“…Another study, using US national data for high school students, reported that bisexual youth had higher odds of smoking compared to other sexual minority groups (i.e. lesbian or gay, and 'not sure' vs heterosexual) 12 . Study findings further indicated that, when assessed in subgroups by identity categories, bisexual male youth had increased odds of smoking ≥20 of the past 30 days, compared to their heterosexual male peers 12 .…”

Section: Introductionmentioning

confidence: 99%

“…lesbian or gay, and 'not sure' vs heterosexual) 12 . Study findings further indicated that, when assessed in subgroups by identity categories, bisexual male youth had increased odds of smoking ≥20 of the past 30 days, compared to their heterosexual male peers 12 . Additionally, bisexual female youth had increased odds of vaping ≥10 and ≥20 of the past 30 days, and lesbians had higher odds of vaping ≥20 of the past 30 days, compared to their heterosexual female peers 12 .…”

Section: Introductionmentioning

confidence: 99%

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Associations between tobacco use patterns and demographic characteristics of sexual minority and heterosexual youth: Results from a nationwide online survey

Hart¹,

Ridner²,

Wood³

et al. 2020

Tob. Prev. Cessation

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INTRODUCTION Youth are at risk for tobacco use, and previous research has pointed to increased vulnerabilities associated with sexual minority identity. For example, LGB youth have increased odds for using tobacco than their heterosexual peers, and bisexual youth have higher odds of smoking than other sexual identity groups. As new tobacco products proliferate and health risks from dual/poly use grow, increased understanding of tobacco use patterns by sexual minority youth is needed. METHODS For 3117 youth, aged 13–18 years, who completed an online questionnaire in 2017 and identified their sexual orientation [minority (e.g. lesbian/gay, bisexual, or pansexual) vs majority (heterosexual)] and gender, we classified current tobacco use into four categories: e-cigarette only, other product only (such as cigarette, cigar, or smokeless tobacco; not an e-cigarette), dual/poly use, and no use. Analyses were conducted separately for male and female participants. Multinomial logistic regression was employed. RESULTS Female sexual minority youth had nearly twofold odds of dual/ poly tobacco use (OR=1.95; 95% CI: 1.12–3.40), compared to their heterosexual counterparts. For male youth, sexual minority identification was not significantly associated with dual/poly use. No significant differences were found in sexual minority and heterosexual youth e-cigarette only or other tobacco only use groups. Tobacco use patterns also significantly differed by age, race, place of residence, and parental education level. CONCLUSIONS Study findings reveal greater odds of dual/poly tobacco use for female sexual minority youth. Tailored tobacco prevention and cessation programs or interventions are needed for sexual minority youth most at risk of tobacco use, especially multiple product use.

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Methods for Population Research on Substance Use and Consequences

Wolfson¹,

Wagoner

Song

et al. 2019

Substance Use Disorders

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Cigarette smoking, e-cigarette use, and sexual identity among high school students in the USA

Cited by 18 publications

References 46 publications

E-cigarette Use and Risk Behaviors among Lesbian, Gay, Bisexual, and Transgender Adults: The Behavioral Risk Factor Surveillance System (BRFSS) Survey

E-cigarette Use and Risk Behaviors among Lesbian, Gay, Bisexual, and Transgender Adults: The Behavioral Risk Factor Surveillance System (BRFSS) Survey

Associations between tobacco use patterns and demographic characteristics of sexual minority and heterosexual youth: Results from a nationwide online survey

Methods for Population Research on Substance Use and Consequences

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