Does tobacco industry marketing excessively impact lesbian, gay and bisexual communities?

Dilley, Julia A.; Spigner, Clarence; Boysun, Michael J.; Dent, Clyde W.; Pizacani, Barbara A.

doi:10.1136/tc.2007.024216

Cited by 118 publications

(116 citation statements)

References 22 publications

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“…Research has found that students who attended schools with more supportive environment for sexual minorities were significantly less likely to report substance use and emotional distress (Heck et al, 2011(Heck et al, , 2014Konishi et al, 2013). Independent research also note that tobacco industry has historically targeted sexual minority populations (Dilley et al, 2008;Washington, 2002;Smith et al, 2006Smith et al, , 2008Smith et al, 2008).…”

Section: Discussionmentioning

confidence: 92%

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Disparities in tobacco use by sexual orientation among high school students

Azagba

Asbridge

Langille

et al. 2014

Preventive Medicine

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Section: Discussionmentioning

confidence: 92%

“…There is also evidence that among LGB communities, and especially among lesbian and bisexual women, the marketing efforts of the tobacco industry are more intense and more effective (Dilley et al, 2008;Smith et al, 2006). Much of what is currently known about smoking prevalence among LGB adolescents comes from the United States.…”

Section: Introductionmentioning

confidence: 97%

Disparities in tobacco use by sexual orientation among high school students

Azagba

Asbridge

Langille

et al. 2014

Preventive Medicine

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“…4 Media influence is another prominent explanation: LGB populations report high exposure 5,6 and receptivity 7 to targeted tobacco industry marketing. 8 Tobacco use is also normative in LGB print 9 and entertainment 10 media.…”

Section: Original Investigationmentioning

confidence: 99%

Is There a Relationship Between the Concentration of Same-Sex Couples and Tobacco Retailer Density?

Lee¹,

Pan²,

Henriksen³

et al. 2015

NICTOB

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Background: Tobacco use is markedly higher among lesbian, gay, and bisexual populations than heterosexuals. Higher density of tobacco retailers is found in neighborhoods with lower income and more racial/ethnic minorities. Same-sex couples tend to live in similar neighborhoods, but the association of this demographic with tobacco retailer density has not been examined. Methods: For a national sample of 97 US counties, we calculated the number of tobacco retailers per 1000 persons and rates of same-sex couples per 1000 households in each census tract (n = 17 941). Using spatial regression, we examined the association of these variables in sex-stratified models, including neighborhood demographics and other environmental characteristics to examine confounding. Results: Results from spatial regression show that higher rates of both female and male same-sex couples were associated with a higher density of tobacco retailers. However the magnitude of this association was small. For female couples, the association was not significant after controlling for area-level characteristics, such as percent black, percent Hispanic, median household income, the presence of interstate highways, and urbanicity, which are neighborhood correlates of higher tobacco retailer density. For male couples, the association persisted after control for these characteristics. Conclusion: Same-sex couples reside in areas with higher tobacco retailer density, and for men, this association was not explained by neighborhood confounders, such as racial/ethnic composition and income. While lesbian, gay, and bisexual disparities in tobacco use may be influenced by neighborhood environment, the magnitude of the association suggests other explanations of these disparities remain important areas of research.

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“…34,35 A systematic review of 42 studies on tobacco use among these groups in the US found a significantly higher risk of smoking among sexual and gender minorities compared to the general population (OR = 1.5 to 2.5). 26 In addition to the same risk factors for smoking that confront other groups, sexual and gender minorities also face additional factors that exacerbate their risk, including social environments that are accepting of smoking, 27,36,37 aggressive targeting by the tobacco industry, [38][39][40][41][42] and perhaps most notably stigma-related processes including minority stress, psychological distress, and social isolation. 24,26,[29][30][31]39,[43][44][45][46][47][48][49] The alarmingly high risk of smoking among sexual and gender minorities together with research that has documented a relationship between stigma-related processes and smoking prevalence for these groups raises questions about whether tobacco-related stigma intensifies the disadvantages associated with the stigmas of other social identities.…”

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confidence: 99%

Tobacco Denormalization as a Public Health Strategy: Implications for Sexual and Gender Minorities

2015

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Although the population-level success of tobacco denormalization is widely accepted, it remains unclear whether these strategies alleviate health inequities for sexual and gender minorities. The high risk of smoking among sexual and gender minorities together with research that documents a relationship between stigma-related processes and smoking prevalence for these groups raises questions about whether tobacco-related stigma intensifies the disadvantages associated with the stigmas of other social identities. We have not adequately considered how tobacco-related stigma overlaps with other social identity stigmas. Given concerns about the intensification of inequality, this type of inquiry has important implications for understanding both the effectiveness and limitations of tobacco denormalization strategies for sexual and gender minorities and identifying those tobacco prevention, treatment, and public health policies that work to ameliorate health inequities.

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Does tobacco industry marketing excessively impact lesbian, gay and bisexual communities?

Abstract: LGB communities, especially lesbian and bisexual women, appear to be effectively targeted by tobacco industry marketing activities. Strategies to limit tobacco industry marketing, and increase individuals' resistance to marketing, may be critical to reducing smoking among LGB populations.

Cited by 118 publications

References 22 publications

Disparities in tobacco use by sexual orientation among high school students

Disparities in tobacco use by sexual orientation among high school students

Is There a Relationship Between the Concentration of Same-Sex Couples and Tobacco Retailer Density?

Tobacco Denormalization as a Public Health Strategy: Implications for Sexual and Gender Minorities

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