Sexual Orientation and Tobacco Use in a Cohort Study of US Adolescent Girls and Boys

Austin, S. Bryn; Ziyadeh, Najat J.; Fisher, Laurie; Kahn, Jessica A.; Colditz, Graham A.; Frazier, A. Lindsay

doi:10.1001/archpedi.158.4.317

Cited by 131 publications

(132 citation statements)

References 43 publications

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“…These results are consistent with observations by Tang et al 4 and remarkably similar to those reported by McKirnan et al 13 but they stand in contrast to those from a school-based survey that found no difference in smoking at least weekly among adolescent boys who self-identify as heterosexual versus gay or bisexual. 9 The reasons underlying this inconsistency are unclear but may reflect differences among studies in the definition and selfidentification of sexual minority status, or in the distribution of participants_ age, race-ethnicity, or indicators of socio-economic status. One report suggests that differences in smoking between adult MSM and male heterosexuals are due in part to access to health care insurance and utilisation, depressive symptoms and alcohol consumption.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Higher rates of smoking among urban-dwelling lesbians and men who have sex with men (MSM) are suggested by a small number of studies, all from the United States. [3][4][5][6][7][8][9][10][11][12][13] A recent review article identified only three reports pertaining to smoking among MSM. 7 Including reports published subsequently, 4,8,9,[11][12][13] only two employed probability sampling to generate representative samples of MSM.…”

Section: Introductionmentioning

confidence: 99%

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High Prevalence of Smoking Among Urban-Dwelling Canadian Men Who Have Sex with Men

et al. 2006

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A small but consistent literature from the United States suggests increased risk for smoking among lesbians and men who have sex with men (MSM). Few studies have investigated smoking among MSM in other countries where different social norms and restrictions on smoking in public apply. We measured smoking behaviours in a convenience sample of urban-dwelling young Canadian MSM (median age 28 years). We compared the prevalence of smoking among MSM with that among other men in British Columbia (BC) using National Population Health Survey data to compute an age-adjusted standardized prevalence ratio (SPR). Independent predictors of smoking among MSM were identified using adjusted odds ratios (OR) with 95% confidence intervals (CI). Smoking during the previous year was reported by twice as many MSM (54.5% of 354) as other men in BC (25.9%) (SPR=1.94, 95% CI 1.48-2.59), with largest differentials observed among men under 25 years of age. In multivariable analyses, smoking among MSM was significantly associated with younger age (OR 0.94, CI 0.88-1.00 per year), greater number of depressive symptoms (OR 1.12, CI 1.06-1.19 per symptom) and Canadian Aboriginal ethnicity (OR 2.64, CI 1.05-6.60). In summary, MSM in our study were twice as likely to smoke as other men in BC; the greatest differences were observed among the youngest men. The design of effective prevention and cessation programs for MSM will require identification of the age-dependent determinants of smoking initiation, persistence, and attempts to quit.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

High Prevalence of Smoking Among Urban-Dwelling Canadian Men Who Have Sex with Men

et al. 2006

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“…A prior study we conducted found that mostly heterosexual young women participating in an urban, multiethnic cohort study reported a younger age at first sexual intercourse and first pregnancy, a greater number of lifetime sexual partners, and higher lifetime occurrence of a sexually transmitted disease (STD) than exclusively heterosexual young women. 4 This same study also found that greater risk of childhood sexual abuse reported by the mostly heterosexual female participants did not explain their higher sexual risk compared with the exclusively 1 heterosexual females. These findings led us to undertake the current study using the same analytic sample derived from the Project on Human Development in Chicago Neighborhoods (PHDCN).…”

mentioning

confidence: 83%

Sexual Risk in “Mostly Heterosexual” Young Women: Influence of Social Support and Caregiver Mental Health

Corliss

Austin

Roberts

et al. 2009

Journal of Women's Health

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Background: Female youth who describe their sexual orientation as ''mostly heterosexual,'' rather than exclusively heterosexual, display greater sexual risk, yet reasons for this greater risk are not understood. Research is needed to identify factors responsible for health disparities in this population comprising the majority of youth who report a minority sexual orientation. Methods: We compared indicators of perceived social support, parental=caregiver mental health, and sexual risk (age at first sexual intercourse, lifetime history of a sexually transmitted infection (STI), lifetime number of sexual partners) among 33 young women describing themselves as mostly heterosexual and 337 indicating they were 100% heterosexual (aged 18-24 years) participating in an urban, multiethnic, community-based cohort study. Linear, logistic, and Cox proportional hazards regression were used to test whether social support and caregiver mental health explained greater sexual risk among mostly heterosexual compared with heterosexual participants. Results: Compared with exclusively heterosexuals, mostly heterosexuals reported less social support from family ( p ¼ 0.01) and friends ( p ¼ 0.02) and were more likely to report primary male caregiver (though not primary female caregiver) histories of depression ( p < 0.0001), treatment for depression ( p < 0.0001), and problems with drug use ( p ¼ 0.005). Differences in perceived family social support and caregiver mental health and substance use partially mediated relationships between sexual orientation and sexual risk. Conclusions: Compared with exclusively heterosexual female youth, mostly heterosexual female youth may have poorer relationships with their family and others in their social networks, and this may contribute to their elevated health risks. Additional research is needed to understand causal mechanisms responsible for sexual orientation disparities in sexual risk.

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“…Literature also clearly documents disparities in smoking among lesbian, gay, and bisexual populations (i.e., sexual minorities) in the United States, suggesting 50%-70% higher prevalence than the general population (Austin et al, 2004;Garofalo, Wolf, Kessel, Palfrey, & DuRant, 1998;Gruskin, Greenwood, Matevia, Pollack, & Bye, 2007;Lee, Griffin, & Melvin, 2009;McCabe, Boyd, Hughes, & d'Arcy, 2003;Skinner, 1994;Stall, Greenwood, Acree, Paul, & Coates, 1999;Tang et al, 2004). Moreover, the American Lung Association (2010) published a special report of tobacco disparities among sexual minorities, harkening a call for more research.…”

Section: Introductionmentioning

confidence: 99%

Associations of Discrimination and Violence With Smoking Among Emerging Adults: Differences by Gender and Sexual Orientation

Blosnich

Horn

2011

Nicotine & Tobacco Research

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Sexual Orientation and Tobacco Use in a Cohort Study of US Adolescent Girls and Boys

Abstract: Our findings indicate that mostly heterosexual adolescents of both sexes and lesbian/bisexual girls are at heightened risk for tobacco use.

Cited by 131 publications

References 43 publications

High Prevalence of Smoking Among Urban-Dwelling Canadian Men Who Have Sex with Men

High Prevalence of Smoking Among Urban-Dwelling Canadian Men Who Have Sex with Men

Sexual Risk in “Mostly Heterosexual” Young Women: Influence of Social Support and Caregiver Mental Health

Associations of Discrimination and Violence With Smoking Among Emerging Adults: Differences by Gender and Sexual Orientation

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