Consequences of Frequenting the Lesbian Bar

Gruskin, Elisabeth P.; Byrne, Kimberly; Kools, Susan; Altschuler, Andrea

doi:10.1300/j013v44n02_06

Cited by 48 publications

(42 citation statements)

References 18 publications

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“…Stall and colleagues found that MSM who attend gay bars more frequently had about 60% greater odds in being smokers,14 but Trocki et al noted that bar attendance (and a measure of sensation seeking) mediated the association between sexual minority status and smoking only among women in their sample 102. Qualitative and historical work suggests that the lesbian or gay bar, which has an important historical role in the LGBT civil rights movement,52 may promote smoking as a normative value 103. This also raises questions of whether sexual minorities may experience higher burdens of environmental tobacco smoke exposure and whether clean indoor air regulations may be a particularly effective intervention in limiting exposure to and use of cigarettes among sexual minority populations.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of the aetiology of tobacco disparities for sexual minorities

2011

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Objective To conduct a systematic review of the literature examining risk factors/correlates of cigarette smoking among lesbian, gay and bisexual (ie, sexual minority) populations. Methods Sets of terms relevant to sexual minority populations and cigarette smoking were used in a simultaneous search of 10 databases through EBSCOhost. The search was limited to the peer-reviewed literature up to January 2011, using no geographic or language limits. For inclusion, the paper was required to: (1) have been written in English, (2) have sexual minorities (defined by either attraction, behaviour, or identity) included in the study population and (3) have examined some form of magnitude of association for risk factors/correlates of any definition of cigarette smoking. A total of 386 abstracts were reviewed independently, with 26 papers meeting all inclusion criteria. Abstracts were reviewed and coded independently by authors JB and JGLL using nine codes derived from the inclusion/exclusion criteria. Results Studies used various measures of sexual orientation and of smoking. Risk factors that could be considered unique to sexual minorities included internalised homophobia and reactions to disclosure of sexual orientation. Some studies also indicated common smoking risk factors experienced at higher rates among sexual minorities, including stress, depression, alcohol use and victimisation. Conclusions This review identified risks that were associated with sexual minority status and common to the general population but experienced at potentially higher rates by sexual minorities. Government and foundation funds should be directed towards research on the origins of this disparity.

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Section: Discussionmentioning

confidence: 99%

A systematic review of the aetiology of tobacco disparities for sexual minorities

2011

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“…Although a thorough discussion of this subject is outside the scope of this paper, several articles identified suggested possible causal pathways for the creation of tobacco disparities among sexual minorities 64 – 67. Identified pathways included the linkage between gay and lesbian social spaces (such as bars) with smoking,68 initiation of smoking due to violence, stress and discrimination,69 as well as barriers to healthcare access and treatment services. Targeted marketing by the tobacco industry, which has gone so far as to link “smokers’ rights” with rights for marriage equality,70 is also a likely contributing factor 71 – 76.…”

Section: Discussionmentioning

confidence: 99%

Tobacco use among sexual minorities in the USA, 1987 to May 2007: a systematic review

2009

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No language restrictions were used. Abstracts were identified in the literature search (n = 734) and were independently read and coded for inclusion or exclusion by two reviewers. When agreement was not reached, a third reviewer acted as arbitrator. Abstracts were included if they presented data collected in the US from 1987 to May 2007 and reported prevalence or correlation of tobacco use with sexual minority status. Studies reporting data from HIV-positive samples were excluded. The identified articles (n = 46) were independently read by two reviewers who recorded key outcome measures, including prevalence and/or odds ratios of tobacco use, sample size and domain of sexuality (identity, behaviour, or desire). Factors relating to study design and methodology were used to assess study quality according to nine criteria. Results: In the 42 included studies, 119 measures of tobacco prevalence or association were reported. The available evidence points to disparities in smoking among sexual minorities that are significantly higher than among the general population. Conclusions: Ongoing, targeted interventions addressing smoking among sexual minorities are warranted in tobacco control programs.Tobacco use is a major contributor to morbidity and mortality in the US and throughout the world.1 2 The relative burden of tobacco-related disease will be affected by disparities in tobacco use among different socio-demographic groups. In the US, disparities in smoking prevalence have been demonstrated by age, educational attainment, race/ethnicity and gender. With respect to sexual minority populations (including individuals with gay, lesbian, bisexual and transgender identity, and individuals with same-sex relationships and/or attraction), past research has suggested that sexual minority status is associated with higher risk of smoking. In 2001, Ryan and colleagues 4 conducted the first systematic review of smoking among sexual minority populations and identified 12 studies reporting smoking prevalence by sexual orientation. Although the review found some evidence for higher smoking prevalence among sexual minorities, the strength of its conclusions was limited by poor sampling methodology in the identified articles as well as variations in definitions of sexual orientation and smoking. A more recent but limited review of smoking among sexual minority women identified 16 studies and came to similar conclusions. 5This article updates previous reviews and reports findings from 42 studies, many with rigorous sampling designs, identified through a systematic search of the published literature from 1987 to May 2007. The identified studies answer our key question: what is the prevalence of tobacco use in sexual minority populations compared to the general population? Our review includes information on gender, sampling methodology, and the domain of sexuality used to determine sexual minority status. Domain of sexuality has been shown to influence the measurement of smoking prevalence, 6 and can be divided into at least three cate...

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“…2 Although data are limited globally, similar disparities appear to be present in population-based sampling in other countries (e.g., England, 3 Mexico 4 ). Although reasons for these disparities remain unclear, 5 researchers have proposed several explanations: historic exposure to community spaces 6,7 and media 8–10 where smoking was normative; targeted marketing by the tobacco industry 11–13 ; pro-tobacco community norms 14,15 ; and the impacts of stigma, discrimination, and stress. 5,16 …”

Section: Introductionmentioning

confidence: 99%

Promotion of Tobacco Use Cessation for Lesbian, Gay, Bisexual, and Transgender People

Lee

Matthews

McCullen

et al. 2014

American Journal of Preventive Medicine

105

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Context Lesbian, gay, bisexual, and transgender (LGBT) people are at increased risk for the adverse effects of tobacco use given their high prevalence of use, especially smoking. Evidence regarding cessation is limited. To determine if efficacious interventions are available and to aid the development of interventions, a systematic review was conducted of gray and peer-reviewed literature describing clinical, community, and policy interventions as well as knowledge, attitudes, and behaviors regarding tobacco use cessation among LGBT people. Evidence acquisition Eight databases for articles from 1987 to April 23, 2014 were searched. In February–November 2013, authors and researchers were contacted to identify gray literature. Evidence synthesis The search identified 57 records, of which 51 were relevant and 22 were from the gray literature; these were abstracted into evidence tables, and a narrative synthesis was conducted in October–May 2014. Group cessation curricula tailored for LGBT populations were found feasible to implement and show evidence of effectiveness. Community interventions have been implemented by and for LGBT communities; although these interventions showed feasibility, no rigorous outcome evaluations exist. Clinical interventions show little difference between LGBT and heterosexual people. Focus groups suggest that care is needed in selecting messaging used in media campaigns. Conclusions LGBT-serving organizations should implement existing evidence-based tobacco dependence treatment and clinical systems to support treatment of tobacco use. A clear commitment from government and funders is needed to investigate whether sexual orientation and gender identity moderate the impacts of policy interventions, media campaigns, and clinical interventions.

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Consequences of Frequenting the Lesbian Bar

Cited by 48 publications

References 18 publications

A systematic review of the aetiology of tobacco disparities for sexual minorities

A systematic review of the aetiology of tobacco disparities for sexual minorities

Tobacco use among sexual minorities in the USA, 1987 to May 2007: a systematic review

Promotion of Tobacco Use Cessation for Lesbian, Gay, Bisexual, and Transgender People

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